MR. MICHAEL GEORGE PRUNER (ARNP) – Adult Health Nurse Practitioner, NPI 1356472161

MR. MICHAEL GEORGE PRUNER (ARNP) is a healthcare provider. based in Grants pass, Oregon. specializing in NURSE PRACTITIONER. They hold the professional credentials ARNP. They hold a License No. ARNP 3366972 (FL). The NPI Number for MR. MICHAEL GEORGE PRUNER (ARNP) is 1356472161

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
MR. MICHAEL GEORGE PRUNER (ARNP)
NPI
1356472161
Phone
(541) 592-4111
Address
1701 NW HAWTHORNE AVE
Enumeration Date
7 March 2007
Last Update Date
18 November 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5412748400
Graduation Year
2012 (14 years ago)
PAC ID
4789772542
Group Practice PAC ID
1052204096
Professional Enrollment ID
I20141119002511
Address ID
OR976011130KL2821XAVEX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

3,366 NURSE PRACTITIONER in OR

Provider Addresses for MR. MICHAEL GEORGE PRUNER (ARNP)

  • 1701 NW HAWTHORNE AVE

    GRANTS PASS, OR 975261257

    Phone: (541) 592-4111

    Fax: (541) 592-3916

    Type: Mailing

  • 25647 REDWOOD HWY

    CAVE JUNCTION, OR 975239332

    Phone: (541) 592-4111

    Fax: (541) 592-3916

    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: 2014-11-19

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
I20141119002511INurse PractitionerORTBD

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
99442Telephone medical discussion with physician, 11-20 minutes15284$0
99213Established patient office or other outpatient visit, 20-29 minutes8745$0
99212Established patient office or other outpatient visit, 10-19 minutes3319$0
99443Telephone medical discussion with physician, 21-30 minutes3023$0
99214Established patient office or other outpatient visit, 30-39 minutes1412$0
View full utilization report →

Insurance plans in this area (ZIP 97526)

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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: 1052204096View full group profile
NameSpecialtyState
Physician AssistantOR
Family PracticeOR
Nurse PractitionerOR
-OR
Internal MedicineOR
Family PracticeOR
-OR
-OR
Neurology, NeuropsychiatryFL
Diagnostic RadiologyOR

Reviews

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Frequently asked questions

What unique ID ties claims to MR. MICHAEL GEORGE PRUNER (ARNP)?
NPI 1356472161 is assigned to MR. MICHAEL GEORGE PRUNER (ARNP) under the national enumeration system.
Does this profile mean MR. MICHAEL GEORGE PRUNER (ARNP) is currently active?
Yes — MR. MICHAEL GEORGE PRUNER (ARNP) appears active in the national provider directory.
What field does MR. MICHAEL GEORGE PRUNER (ARNP) work in?
You can think of MR. MICHAEL GEORGE PRUNER (ARNP) as practicing within Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does MR. MICHAEL GEORGE PRUNER (ARNP) practice in Oregon?
You will see Grants Pass, Oregon on file for MR. MICHAEL GEORGE PRUNER (ARNP) alongside any extra practice locations.
How can I contact MR. MICHAEL GEORGE PRUNER (ARNP)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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