NATHAN BRUNKEN (MD) – Emergency Medicine Physician, NPI 1124470711
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,172 EMERGENCY MEDICINE in MN
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Provider Addresses for NATHAN BRUNKEN (MD)
1702 UNIVERSITY DR S
FARGO, ND 581034940
Phone:
Type: Mailing
Essentia Health Saint Mary's - Detroit Lakes, 1027, Washington Avenue, Detroit Lakes, Becker County, Minnesota, 56501, United States
DETROIT LAKES, MN 565013409
Phone: (218) 847-5611
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: 2019-05-20
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 |
|---|---|---|---|---|
| I20181101000074 | I | Emergency Medicine | MI | TBD |
| I20190520001863 | I | Emergency Medicine | MN | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 133 | 126 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 84 | 82 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 42 | 40 | $0 |
Insurance plans in this area (ZIP 58103)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | ND | |
| Family Practice | MN | |
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| Family Practice | ND | |
| Family Practice, Emergency Medicine | MN | |
| Nurse Practitioner | WI | |
| Family Practice | MN | |
| Nurse Practitioner | ND | |
| Nurse Practitioner | MN | |
| O P T O M E T R Y | MN |
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