JENNA ALYS BRUNN (MD) – Neurology Physician, NPI 1306406434

JENNA ALYS BRUNN (MD) is a healthcare provider. based in Ann arbor, Michigan. specializing in NEUROLOGY. They hold the professional credentials MD. They hold a License No. 35.151781 (OH). The NPI Number for JENNA ALYS BRUNN (MD) is 1306406434

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
JENNA ALYS BRUNN (MD)
NPI
1306406434
Phone
Not provided
Address
1500 E MEDICAL CENTER DR # TC3116
Enumeration Date
20 June 2019
Last Update Date
9 September 2024

Doctor Profile

Medical School Name
WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Secondary Phone
3308969625
Graduation Year
2019 (7 years ago)
PAC ID
4082949409
Group Practice PAC ID
2769470590
Professional Enrollment ID
I20241223001899
Address ID
OH446857965UN3838XRDXX303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

965 NEUROLOGY in MI

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Provider Addresses for JENNA ALYS BRUNN (MD)

  • 1500 E MEDICAL CENTER DR # TC3116

    ANN ARBOR, MI 481095000

    Phone:

    Type: Mailing

  • Mott Children's Hospital and Von Voigtlander Women's Hospital, 1500, East Medical Center Drive, Ann Arbor, Washtenaw County, Michigan, 48109, United States

    ANN ARBOR, MI 481095000

    Phone: (734) 936-9010

    Type: Location

  • 3838 MASSILLON RD STE 360

    UNIONTOWN, OH 446857965

    Phone: (330) 896-9625

    Fax: (330) 896-9768

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 28 Open Payments records for all available years, with a total value of $586.

Total Amount is formed as General ($586) + Research ($0) + Ownership ($0) = $586.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: TG Therapeutics, Inc. ($125).

Total Amount

$586

General + Research + Ownership

Payments

28

Total payment records

General Amount

$586

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-12-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230802004259INeurologyMITBD
I20241223001899INeurologyOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48109)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2769470590View full group profile
NameSpecialtyState
Internal MedicineOH
N E U R O L O G YOH
Nurse PractitionerOH
Nurse PractitionerOH

Reviews

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Frequently asked questions

Can I cross-check JENNA ALYS BRUNN (MD) using NPI 1306406434?
NPI 1306406434 belongs to JENNA ALYS BRUNN (MD); compare other details if you need extra assurance.
Would JENNA ALYS BRUNN (MD) appear as active to a payer?
You can treat JENNA ALYS BRUNN (MD) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for JENNA ALYS BRUNN (MD)?
At a glance, JENNA ALYS BRUNN (MD) is tied to Neurology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for JENNA ALYS BRUNN (MD)?
Travel planning: use Ann Arbor, Michigan as the reference point for JENNA ALYS BRUNN (MD), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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