BRENDA R BULLERMAN (PA-C) – Physician Assistant, NPI 1225032717
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,031 PHYSICIAN ASSISTANT in MN
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Provider Addresses for BRENDA R BULLERMAN (PA-C)
Maine Avenue, Adrian, Nobles County, Minnesota, 56110, United States
ADRIAN, MN 561101214
Phone: (507) 483-2668
Fax: (507) 483-2925
Type: Location
PO BOX 5074
SIOUX FALLS, SD 571175074
Phone: (605) 328-9556
Fax: (605) 328-9501
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $103.
Total Amount is formed as General ($103) + Research ($0) + Ownership ($0) = $103.
Last reported payment date: 2024-10-16 • Largest payer in this snapshot: Grifols USA, LLC ($71).
Total Amount
$103
General + Research + Ownership
Payments
5
Total payment records
General Amount
$103
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Grifols USA, LLC | $71 |
| PFIZER INC. | $32 |
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: 2005-05-20
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040407001040 | I | Physician Assistant | MN | TBD |
| I20050520000316 | I | Physician Assistant | SD | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 13 | 11 | $0 |
Insurance plans in this area (ZIP 56110)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice, Emergency Medicine | IN | |
| Family Practice | MN | |
| Nurse Practitioner | MN | |
| - | MN | |
| Family Practice | MN |
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