NATHAN BRUNKEN MD
NPI 1124470711
Emergency Medicine in Detroit Lakes, MN
About Nathan Brunken Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NATHAN BRUNKEN MD (NPI 1124470711) is an individual emergency medicine provider in Detroit Lakes, Minnesota, licensed in Minnesota (65126) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS, is affiliated with Essentia Health St Marys - Detroit Lakes, and is a graduate of University Of North Dakota School Of Medicine (2016).
NPPES Registry Identity
Specialties & Licenses 2
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
Nathan Brunken Md 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 Reassignments
2Medicare enrollment records show Nathan Brunken reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Detroit Lakes, MN 56501
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: St Marys Regional Health Center
- 254 clinicians in this Medicare group
Plainwell, MI 49080
- Reassigned Medicare billing, Michigan enrollment
- Medicare enrollment name: Ascension Borgess Hospital
- 247 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 3
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Essentia Health St Marys - Detroit Lakes
Acute Care Hospitals · Detroit Lakes, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 56501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Nathan Brunken's NPI number?
The NPI number for Nathan Brunken is 1124470711. It was assigned to this individual provider in the NPPES registry on July 7, 2016.
Where is Nathan Brunken located?
Nathan Brunken practices at 1027 Washington Ave, Detroit Lakes, MN 56501. The listed phone number is (218) 847-5611.
What is Nathan Brunken's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Nathan Brunken enrolled in Medicare?
Yes. Nathan Brunken 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 organizations bill Medicare for Nathan Brunken's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nathan Brunken reassigns Medicare benefits to 2 organizations: St Mary's Regional Health Center (Detroit Lakes, MN) and Beacon Kalamazoo Inc (Plainwell, MI). Each 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 Nathan Brunken's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Nathan Brunken affiliated with any hospitals?
According to CMS data, Nathan Brunken is affiliated with Essentia Health St Marys - Detroit Lakes.
When was this NPI record last updated?
The NPPES record for Nathan Brunken was last updated on May 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Nathan Brunken, MD · NPI 1124470711
Emergency Medicine physician in Detroit Lakes, Minnesota. Individual provider, active in the CMS NPPES registry since July 7, 2016.
## Identity
- **NPI:** 1124470711 (Entity type: Individual)
- **Enumerated:** July 7, 2016
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 65126 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 1027 WASHINGTON AVE, Detroit Lakes, MN 56501-3409
- **Phone:** (218) 847-5611
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): St Mary's Regional Health Center (NPI 1134118250, Detroit Lakes, MN); Beacon Kalamazoo Inc (NPI 1821045212, Plainwell, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of North Dakota School Of Medicine, class of 2016
## Record status
- **NPPES last updated:** May 7, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1124470711) · Data from the CMS NPPES public registry.