JILL K BRUNSTAD (PA) – Physician Assistant, NPI 1902861131

JILL K BRUNSTAD (PA) is a healthcare provider. based in Eagle river, Wisconsin. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 001000611 (NC). The NPI Number for JILL K BRUNSTAD (PA) is 1902861131

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
JILL K BRUNSTAD (PA)
NPI
1902861131
Phone
(715) 479-0400
Address
500 COMMERCE DR
Enumeration Date
19 April 2006
Last Update Date
10 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7158910088
Graduation Year
2003 (23 years ago)
PAC ID
7719051614
Group Practice PAC ID
2860837291
Professional Enrollment ID
I20100114000804
Address ID
WI545219349EA302XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

3,678 PHYSICIAN ASSISTANT in WI

Provider Addresses for JILL K BRUNSTAD (PA)

  • 500 COMMERCE DR

    EAGLE RIVER, WI 545218038

    Phone: (715) 479-0400

    Type: Location

  • 302 W PINE ST STE 2

    EAGLE RIVER, WI 545219349

    Phone: (715) 891-0088

    Type: Mailing

  • Marshfield Clinic Marshfield Center, 1000, North Oak Avenue, Marshfield, Wood County, Wisconsin, 54449, United States

    MARSHFIELD, WI 544495703

    Phone: (715) 387-5511

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $103.

Total Amount is formed as General ($103) + Research ($0) + Ownership ($0) = $103.

Last reported payment date: 2024-09-04 • Largest payer in this snapshot: Novo Nordisk Inc ($43).

Total Amount

$103

General + Research + Ownership

Payments

5

Total payment records

General Amount

$103

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-04

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2010-01-14

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
I20100114000804IPhysician AssistantWITBD

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
99214Established patient office or other outpatient visit, 30-39 minutes378234$0
99215Established patient office or other outpatient visit, 40-54 minutes6559$0
99213Established patient office or other outpatient visit, 20-29 minutes5548$0
36415Insertion of needle into vein for collection of blood sample4645$0
93005Routine electrocardiogram (ecg) using at least 12 leads with tracing3834$0
View full utilization report →

Insurance plans in this area (ZIP 54521)

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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: 2860837291View full group profile
NameSpecialtyState
Physician AssistantWI
Physician AssistantWI

Reviews

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Frequently asked questions

Does JILL K BRUNSTAD (PA) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JILL K BRUNSTAD (PA) uses 1902861131.
Does CMS list JILL K BRUNSTAD (PA) as active?
Yes — JILL K BRUNSTAD (PA) is active in the NPI listing used on this page.
What healthcare role does JILL K BRUNSTAD (PA) hold?
Scheduling teams often label JILL K BRUNSTAD (PA) under Physician Assistant. Clinical services aligned with this taxonomy classification.
Does JILL K BRUNSTAD (PA) list a practice location?
Patients near Eagle River, Wisconsin may find JILL K BRUNSTAD (PA) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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