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MRS. CHISOM O BRUNS PA-C
NPI 1073092391
Physician Assistant in Spring Valley, MN

Active since August 08, 2018PECOS EnrolledAccepts Medicare Assignment
94/100
CMS Quality Rating
802 MEMORIAL DR, SPRING VALLEY, MN 55975(507) 288-3443 Get Directions Write a Review

NPPES record last updated: August 8, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mrs. Chisom O Bruns Pa-c NPPES

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

MRS. CHISOM O BRUNS PA-C (NPI 1073092391) is an individual physician assistant in Spring Valley, Minnesota, licensed in Minnesota (12738) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS, is affiliated with North Memorial Health Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1073092391
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. CHISOM O BRUNSCredential: PA-C
Location Address802 MEMORIAL DRSpring Valley, MN 55975-1024
Mailing Address2110 Falcon Ter NwStewartville, MN 55976-1052 · (732) 439-2948
Phone(507) 288-3443
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 8, 2018
✔ NPI 1073092391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MN · 12738
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
802 MEMORIAL DR, Spring Valley, MN 55975
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Chisom O Bruns Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466702493
PECOS Enrollment IDI20180912001107
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

North Memorial Health Hospital

Acute Care Hospitals · Robbinsdale, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240001
Location3300 Oakdale NorthRobbinsdale, MN 55422 · Hennepin County
Emergency services Birthing friendly

Avera Marshall Regional Medical Ctr

Critical Access Hospitals · Marshall, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number241359
Location300 South Bruce StreetMarshall, MN 56258 · Lyon County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55975 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.79
Promoting Interoperability98.22
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

DR. CORY A BOYCE MD
Family Medicine
802 MEMORIAL DR
SPRING VALLEY, MN 55975
Fillmore County (507) 346-7373
DR. BARBARA JUNE VIZE M.D.
Family Medicine
802 MEMORIAL DR
SPRING VALLEY, MN 55975
Fillmore County (507) 346-7373
HAFSA MUSA PA-C
Physician Assistant
802 MEMORIAL DR
SPRING VALLEY, MN 55975
Fillmore County (507) 346-7373

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 Chisom Bruns's NPI number?

The NPI number for Chisom Bruns is 1073092391. It was assigned to this individual provider in the NPPES registry on August 8, 2018.

Where is Chisom Bruns located?

Chisom Bruns practices at 802 Memorial Dr, Spring Valley, MN 55975. The listed phone number is (507) 288-3443.

What is Chisom Bruns's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Chisom Bruns enrolled in Medicare?

Yes. Chisom Bruns is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Chisom Bruns affiliated with any hospitals?

According to CMS data, Chisom Bruns is affiliated with North Memorial Health Hospital and Avera Marshall Regional Medical Ctr.

When was this NPI record last updated?

The NPPES record for Chisom Bruns was last updated on August 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.