JESSALYN BRUGNONI (D.O.) – Emergency Medicine Physician, NPI 1649775008

JESSALYN BRUGNONI (D.O.) is a healthcare provider. based in Grosse pointe farms, Michigan. specializing in EMERGENCY MEDICINE. They hold the professional credentials D.O.. They hold a License No. 5101026304 (MI). The NPI Number for JESSALYN BRUGNONI (D.O.) is 1649775008

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
JESSALYN BRUGNONI (D.O.)
NPI
1649775008
Phone
(815) 260-5854
Address
355 MOSELLE PL
Enumeration Date
28 March 2018
Last Update Date
12 July 2023

Doctor Profile

Medical School Name
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Secondary Phone
3139162600
Graduation Year
2018 (8 years ago)
PAC ID
0547661365
Group Practice PAC ID
0547178311
Professional Enrollment ID
I20210630001071
Address ID
MI482022608DE2799XBLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

3,158 EMERGENCY MEDICINE in MI

Provider Addresses for JESSALYN BRUGNONI (D.O.)

  • 355 MOSELLE PL

    GROSSE POINTE FARMS, MI 482363307

    Phone: (815) 260-5854

    Type: Mailing

  • 248 ORLEANS ST APT 303

    DETROIT, MI 482074094

    Phone: (815) 260-5854

    Type: Mailing

  • 2799 W Grand Blvd

    Detroit, MI 482022608

    Phone: (313) 916-1533

    Type: Location

  • Henry Ford Hospital, 2799, West Grand Boulevard, New Center, Detroit, Wayne County, Michigan, 48202, United States

    DETROIT, MI 482022689

    Phone: (313) 916-1533

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2021-06-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20210630001071IEmergency MedicineMITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making2626$0
99284Emergency department visit with moderate level of medical decision making2020$0
View full utilization report →

Insurance plans in this area (ZIP 48236)

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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: 0547178311View full group profile
NameSpecialtyState
-MI
Gastroenterology, Internal MedicinePA
Certified Registered Nurse Anesthetist (Crna)MI
Clinical Social WorkerMI
-MI
O P H T H A L M O L O G YMI
-MI
-MI
Certified Registered Nurse Anesthetist (Crna)MI
-MI

Reviews

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Frequently asked questions

Is there an official ID for JESSALYN BRUGNONI (D.O.) in U.S. healthcare records?
The official identifier for JESSALYN BRUGNONI (D.O.) is NPI 1649775008.
Would JESSALYN BRUGNONI (D.O.) appear as active to a payer?
You can treat JESSALYN BRUGNONI (D.O.) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to JESSALYN BRUGNONI (D.O.)?
JESSALYN BRUGNONI (D.O.)'s specialty line reads Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for JESSALYN BRUGNONI (D.O.)?
Travel planning: use Grosse Pointe Farms, Michigan as the reference point for JESSALYN BRUGNONI (D.O.), then confirm.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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