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MS. DIANE M BRUESSOW PA-C
NPI 1063552487
Physician Assistant - Medical in Florence, MA

Active since February 07, 2007PECOS Enrolled
10 MAIN ST STE 3, FLORENCE, MA 01062(718) 894-0301(718) 894-0301 Get Directions Write a Review

NPPES record last updated: February 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 3, 2025, Apr 8, 2024, Mar 6, 2023 and 2 more (5 updates tracked since 2016).

About Ms. Diane M Bruessow Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. DIANE M BRUESSOW PA-C (NPI 1063552487) is an individual medical provider in Florence, Massachusetts, licensed in Massachusetts (PA8022) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063552487
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMS. DIANE M BRUESSOWCredential: PA-C
Location Address10 MAIN ST STE 3Florence, MA 01062-3158
Mailing Address123 Main St Unit 60538Florence, MA 01062-7026 · (718) 894-0301 · Fax (718) 894-0301
Phone(718) 894-0301
Fax(718) 894-0301
Sole ProprietorYes
Enumeration DateFebruary 7, 2007
Last NPPES UpdateFebruary 3, 20255 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2025
✔ NPI 1063552487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses✔ Licensed in MA · PA8022✔ Licensed in WY · PA1010
Also ListedPhysician AssistantTaxonomy 363A00000X · License 004819-1 (NY), 25MP00141700 (NJ)
10 MAIN ST STE 3, Florence, MA 01062
Open in Google Maps ↗

Other Identifiers 5

OtherPA8820MA · License
Other004819NY · License
Other25MP00141700NJ · License
Other6421CT · License
OtherPA1010WY · License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Diane M Bruessow Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FLICKER MEDICAL LLC
Clinic/Center
10 MAIN ST STE 3
NORTHAMPTON, MA 01062
Hampshire County (413) 923-1994

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Diane Bruessow's NPI number?

The NPI number for Diane Bruessow is 1063552487. It was assigned to this individual provider in the NPPES registry on February 7, 2007.

Where is Diane Bruessow located?

Diane Bruessow practices at 10 Main St Ste 3, Florence, MA 01062. The listed phone number is (718) 894-0301.

What is Diane Bruessow's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Diane Bruessow enrolled in Medicare?

Yes. Diane Bruessow is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Diane Bruessow was last updated on February 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.