MARY JO BRUNNER RD, LD, CD
NPI 1073535399
Dietitian, Registered in River Falls, WI
About Mary Jo Brunner Rd, Ld, Cd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY JO BRUNNER RD, LD, CD (NPI 1073535399) is an individual dietitian, registered in River Falls, Wisconsin, licensed in Wisconsin (1826) and active in the NPI registry since July 2006. She is a graduate of Other (2006).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mary Jo Brunner Rd, Ld, Cd 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.
Medicare Billing Reassignment
Medicare enrollment records show Mary Brunner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
River Falls, WI 54022
- Reassigned Medicare billing, Wisconsin and Minnesota enrollments
- Also billed through NPI 1184244519 (Wisconsin), NPI 1881118149 (Minnesota), NPI 1578869293 (Minnesota)
- 318 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54022 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RIVER FALLS, WI 54022
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 Mary Brunner's NPI number?
The NPI number for Mary Brunner is 1073535399. It was assigned to this individual provider in the NPPES registry on July 24, 2006.
Where is Mary Brunner located?
Mary Brunner practices at 1617 E Division St, River Falls, WI 54022. The listed phone number is (715) 307-6600.
What is Mary Brunner's specialty?
The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.
Is Mary Brunner enrolled in Medicare?
Yes. Mary Brunner 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.
Which organization bills Medicare for Mary Brunner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Brunner reassigns Medicare benefits to Allina Health System (River Falls, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Brunner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mary Brunner was last updated on March 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Mary Jo Brunner, RD, LD, CD · NPI 1073535399
Dietitian, Registered provider in River Falls, Wisconsin. Individual provider, active in the CMS NPPES registry since July 24, 2006.
## Identity
- **NPI:** 1073535399 (Entity type: Individual)
- **Enumerated:** July 24, 2006
- **Primary specialty:** Dietitian, Registered · taxonomy 133V00000X
- **State license:** 1826 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 1617 E DIVISION ST, River Falls, WI 54022
- **Phone:** (715) 307-6600
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Allina Health System (NPI 1699621649, River Falls, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** March 15, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1073535399) · Data from the CMS NPPES public registry.