LATOSCA BRUNNER (AGAC-NP) – Acute Care Nurse Practitioner, NPI 1710411822
Acute Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
Provider Addresses for LATOSCA BRUNNER (AGAC-NP)
221 W Colorado Blvd Ste 525
Dallas, TX 752082312
Phone: (214) 960-5681
Fax: (214) 960-5681
Type: Location
221 W Beckley Blvd
Pavilion 2 Suite 929
Dallas, TX 75202
Phone: (214) 960-5681
Fax: (217) 947-2727
Type: Location
4810 KEMP BLVD
WICHITA FALLS, TX 763085222
Phone: (872) 231-3162
Type: Location
221 W BECKLEY BLVD
PAVILION 2 SUITE 929
DALLAS, TX 75202
Phone: (214) 960-5681
Fax: (217) 947-2727
Type: Mailing
PO BOX 74008272
CHICAGO, IL 606748272
Phone: (702) 899-0595
Fax: (702) 977-1496
Type: Mailing
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: 2017-09-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170927000019 | I | Nurse Practitioner | TX | 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 |
|---|---|---|---|---|
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 41 | 14 | $0 |
Insurance plans in this area (ZIP 75208)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Medicine And Rehabilitation | IN | |
| Nurse Practitioner | IL | |
| Physical Medicine And Rehabilitation | IL | |
| Physical Medicine And Rehabilitation | IL | |
| Physical Medicine And Rehabilitation | IL | |
| Physical Medicine And Rehabilitation | WI | |
| Nurse Practitioner | OK | |
| Physical Medicine And Rehabilitation | IL | |
| Nurse Practitioner | MI | |
| Physical Medicine And Rehabilitation | WA |
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