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MRS. ASHLEY DAWN BRUURSEMA NNP-BC
NPI 1164184834
Nurse Practitioner - Neonatal, Critical Care in Grand Rapids, MI

Active since October 11, 2021PECOS Enrolled
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503(616) 486-6790 Get Directions Write a Review

NPPES record last updated: January 12, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 12, 2022, Oct 11, 2021 (2 updates tracked since 2021).

About Mrs. Ashley Dawn Bruursema Nnp-bc NPPES

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

MRS. ASHLEY DAWN BRUURSEMA NNP-BC (NPI 1164184834) is an individual neonatal, critical care provider in Grand Rapids, Michigan, licensed in Michigan (4704295171) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164184834
Entity TypeIndividualFemale
Primary Taxonomy363LN0005X
Provider Legal NameMRS. ASHLEY DAWN BRUURSEMACredential: NNP-BC
Location Address100 MICHIGAN ST NE # MC845Grand Rapids, MI 49503-2560
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560 · (616) 486-6790
Phone(616) 486-6790
Sole ProprietorNo
Enumeration DateOctober 11, 2021
Last NPPES UpdateJanuary 12, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2022
✔ NPI 1164184834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Neonatal, Critical CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LN0005X
License✔ Licensed in MI · 4704295171
100 MICHIGAN ST NE # MC845, Grand Rapids, MI 49503
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Ashley Dawn Bruursema Nnp-bc 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.

Medicare Billing Reassignments

4

Medicare enrollment records show Ashley Bruursema reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Spectrum Health Primary Care Partners
Same address
Hospitalist
100 MICHIGAN ST NE
Grand Rapids, MI 49503
  • Reassigned Medicare billing, Michigan enrollment
  • 2,446 clinicians in this Medicare group
NPI 1790093763 (616) 391-3139
Spectrum Health United
24 mi
Rural Health
1202 W OAK ST
Greenville, MI 48838
  • Reassigned Medicare billing, Michigan enrollment
  • 242 clinicians in this Medicare group
NPI 1538436852 (616) 754-2944
Mecosta County Medical Center
37 mi
Surgery
705 OAK ST
Big Rapids, MI 49307
  • Reassigned Medicare billing, Michigan enrollment
  • 151 clinicians in this Medicare group
NPI 1508146457 (231) 796-7607
Memorial Medical Center Of West Michigan
78 mi
Family Medicine
5 N ATKINSON DR
Ludington, MI 49431
  • Reassigned Medicare billing, Michigan enrollment
  • 168 clinicians in this Medicare group
NPI 1144639360 (231) 845-3615

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

CASSANDRA CUMMINGS DNP
Nurse Practitioner (Pediatrics)
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503
Kent County (616) 486-6790
ALI KAY SHORT LMSW
Social Worker (Clinical)
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503
Kent County (616) 486-6790
NICOLE HOLBROOK
Speech-Language Pathologist
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503
Kent County (616) 486-6790
EVAN BERKAS
Student in an Organized Health Care Education/Training Program
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503
Kent County (616) 486-6790
MIKAYLA ALTHOFF
Social Worker
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503
Kent County (616) 486-6790
MRS. BOBBI JO KIEFF RN, BSN, CDCES
Student in an Organized Health Care Education/Training Program
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503
Kent County (616) 486-6790
BREANNA MAE NOFFKE PA
Physician Assistant
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503
Kent County (616) 486-6790
PAIGE NICOLE PHIZACKLEA RD
Dietitian, Registered
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503
Kent County (616) 486-6790

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 Ashley Bruursema's NPI number?

The NPI number for Ashley Bruursema is 1164184834. It was assigned to this individual provider in the NPPES registry on October 11, 2021.

Where is Ashley Bruursema located?

Ashley Bruursema practices at 100 Michigan St NE # Mc845, Grand Rapids, MI 49503. The listed phone number is (616) 486-6790.

What is Ashley Bruursema's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, Critical Care, with taxonomy code 363LN0005X.

Is Ashley Bruursema enrolled in Medicare?

Yes. Ashley Bruursema is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ashley Bruursema's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ashley Bruursema reassigns Medicare benefits to 4 organizations: Spectrum Health Primary Care Partners (Grand Rapids, MI), Spectrum Health United (Greenville, MI), Mecosta County Medical Center (Big Rapids, MI) and Memorial Medical Center Of West Michigan (Ludington, 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 Ashley Bruursema's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ashley Bruursema accept?

Health plans from Priority Health list Ashley Bruursema as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ashley Bruursema was last updated on January 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.