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

Q: 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.

Q: 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.

Q: 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.

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: August 16, 2026.

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

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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

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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, and ordering and referring status from the CMS PECOS system.

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.

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)