ALYSSA RE TULMAN BRUNER (CSAC) – Addiction (Substance Use Disorder) Counselor, NPI 1851163554

ALYSSA RE TULMAN BRUNER (CSAC) is a healthcare provider. based in New richmond, Wisconsin. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials CSAC. They hold a License No. 12483-123 (WI). The NPI Number for ALYSSA RE TULMAN BRUNER (CSAC) is 1851163554

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
ALYSSA RE TULMAN BRUNER (CSAC)
NPI
1851163554
Phone
(715) 246-6991
Address
1752 DORSET LN
Enumeration Date
25 October 2023
Last Update Date
7 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7152468330
Graduation Year
2023 (3 years ago)
PAC ID
3870099054
Group Practice PAC ID
3779676044
Professional Enrollment ID
I20251006002168
Address ID
WI540172452NE1752XLNXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:2State licenses:2Digital endpointsOther names

1,447 CLINICAL SOCIAL WORKER in WI

Provider Addresses for ALYSSA RE TULMAN BRUNER (CSAC)

  • 1752 DORSET LN

    NEW RICHMOND, WI 540172452

    Phone: (715) 246-6991

    Fax: (715) 246-8413

    Mailing address matches the actual address.

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: 2025-10-06

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
I20251006002168IClinical Social WorkerWITBD

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 54017)

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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: 3779676044View full group profile
NameSpecialtyState
P S Y C H I A T R YMN
Nurse PractitionerWI
Clinical Social WorkerWI
Mental Health CounselorWI
P S Y C H I A T R YWI
-WI
Marriage And Family TherapistWI
Mental Health CounselorMN

Reviews

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Frequently asked questions

Can I cross-check ALYSSA RE TULMAN BRUNER (CSAC) using NPI 1851163554?
NPI 1851163554 belongs to ALYSSA RE TULMAN BRUNER (CSAC); compare other details if you need extra assurance.
Is there an active status for ALYSSA RE TULMAN BRUNER (CSAC)?
For scheduling context, ALYSSA RE TULMAN BRUNER (CSAC) is shown as active in the registry.
What kind of doctor is ALYSSA RE TULMAN BRUNER (CSAC)?
ALYSSA RE TULMAN BRUNER (CSAC) is associated with Addiction (Substance Use Disorder) Counselor in the directory — Clinical services aligned with this taxonomy classification.
Is ALYSSA RE TULMAN BRUNER (CSAC) located near New Richmond?
ALYSSA RE TULMAN BRUNER (CSAC) currently maps to New Richmond, Wisconsin in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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