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SAMANTHA LEE ANN BRUNINK FNP
NPI 1083436604
Nurse Practitioner - Family in San Antonio, TX

Active since October 25, 2024PECOS EnrolledAccepts Medicare Assignment
9234 N LOOP 1604 W STE 110, SAN ANTONIO, TX 78249(512) 987-8435(833) 864-3533 Get Directions Write a Review

NPPES record last updated: October 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Samantha Lee Ann Brunink Fnp NPPES

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

SAMANTHA LEE ANN BRUNINK FNP (NPI 1083436604) is an individual family provider in San Antonio, Texas, licensed in California (95032641) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Palm Desert, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1083436604
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSAMANTHA LEE ANN BRUNINKCredential: FNP
Location Address9234 N LOOP 1604 W STE 110San Antonio, TX 78249-2981
Mailing Address9234 N Loop 1604 W Ste 110San Antonio, TX 78249-2981 · (512) 987-8435 · Fax (833) 864-3533
Phone(512) 987-8435
Fax(833) 864-3533
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 25, 2024
Last NPPES UpdateOctober 15, 2025
NPPES CertifiedOctober 15, 2025
✔ NPI 1083436604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in CA · 95032641✔ Licensed in TX · 1179656
9234 N LOOP 1604 W STE 110, San Antonio, TX 78249
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Secondary Practice Location 1

Location 175410 Gerald Ford Dr Ste 200Palm Desert, CA 92211-3501 · Phone (760) 904-6070 · Fax (760) 904-6078

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

Samantha Lee Ann Brunink Fnp 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 ID9830624188
PECOS Enrollment IDI20241122001620, I20260104000205
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.

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
20 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78249 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Samantha Brunink's NPI number?

The NPI number for Samantha Brunink is 1083436604. It was assigned to this individual provider in the NPPES registry on October 25, 2024.

Where is Samantha Brunink located?

Samantha Brunink practices at 9234 N Loop 1604 W Ste 110, San Antonio, TX 78249. The listed phone number is (512) 987-8435.

What is Samantha Brunink's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Samantha Brunink enrolled in Medicare?

Yes. Samantha Brunink 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.

When was this NPI record last updated?

The NPPES record for Samantha Brunink was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.