HOLLY BETH BRUNO (FNP-C) – Nurse Practitioner, NPI 1407533623

HOLLY BETH BRUNO (FNP-C) is a healthcare provider. based in Weatherford, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 1110273 (TX). The NPI Number for HOLLY BETH BRUNO (FNP-C) is 1407533623

Main info

Female
Sole Proprietor
4 Years Of Experience
Name
HOLLY BETH BRUNO (FNP-C)
NPI
1407533623
Phone
Not provided
Address
804 SANTA FE DR STE 100B
Enumeration Date
29 June 2023
Last Update Date
25 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8174583342
Graduation Year
2022 (4 years ago)
PAC ID
5193187946
Group Practice PAC ID
0840269163
Professional Enrollment ID
I20230811000154
Address ID
TX760866327WE1517XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for HOLLY BETH BRUNO (FNP-C)

  • 804 SANTA FE DR STE 100B

    WEATHERFORD, TX 760866582

    Phone:

    Type: Mailing

  • 1517 TEXAS DRIVE

    WEATHERFORD, TX 76086

    Phone: (817) 458-3300

    Fax: (817) 458-3370

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 38 Open Payments records for all available years, with a total value of $746.

Total Amount is formed as General ($746) + Research ($0) + Ownership ($0) = $746.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($196).

Total Amount

$746

General + Research + Ownership

Payments

38

Total payment records

General Amount

$746

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

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: 2023-08-11

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
I20230811000154INurse PractitionerTXTBD

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 76086)

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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: 0840269163View full group profile
NameSpecialtyState
Physician AssistantTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Family PracticeTX
Family PracticeTX
Family PracticeTX
Physician AssistantTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

What is HOLLY BETH BRUNO (FNP-C)'s NPI number?
HOLLY BETH BRUNO (FNP-C)'s NPI is 1407533623 — the number used across U.S. healthcare to identify this provider.
Is HOLLY BETH BRUNO (FNP-C) still an active registrant?
HOLLY BETH BRUNO (FNP-C) carries an active NPI according to the public dataset.
What kind of doctor is HOLLY BETH BRUNO (FNP-C)?
HOLLY BETH BRUNO (FNP-C) is associated with Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for HOLLY BETH BRUNO (FNP-C)?
Travel planning: use Weatherford, Texas as the reference point for HOLLY BETH BRUNO (FNP-C), then confirm.
When was this NPI issued?
Enumeration for HOLLY BETH BRUNO (FNP-C) is noted as June 29, 2023 where the registry provides it.

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