DR. KIMBERLY BRUNDIDGE DNP, APNP, FNP-BC
NPI 1285552794
Nurse Practitioner in Weyauwega, WI

Q: What is Kimberly Brundidge's NPI number?

The NPI number for Kimberly Brundidge is 1285552794. It was assigned to this individual provider in the NPPES registry on July 10, 2026.

Q: What is Kimberly Brundidge's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since July 10, 2026PECOS Enrolled

410 E ANN ST, WEYAUWEGA, WI 54983(920) 867-8961(920) 867-8949 Get Directions Write a Review

NPPES record last updated: September 1, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 1, 2026, Jul 10, 2026 (2 updates tracked since 2026).

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About Dr. Kimberly Brundidge Dnp, Apnp, Fnp-bc NPPES

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

DR. KIMBERLY BRUNDIDGE DNP, APNP, FNP-BC (NPI 1285552794) is an individual nurse practitioner in Weyauwega, Wisconsin, licensed in Wisconsin (18636-33) and active in the NPI registry since July 2026. She is enrolled in Medicare PECOS, maintains a secondary practice location in Weyauwega, and is a graduate of Other (2026).

NPPES Registry Identity

NPI1285552794

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameDR. KIMBERLY BRUNDIDGECredential: DNP, APNP, FNP-BC

Location Address410 E ANN STWeyauwega, WI 54983-8403

Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250

Phone(920) 867-8961

Fax(920) 867-8949

Sole ProprietorNo

Medical School CMSOtherGraduated 2026

Enumeration DateJuly 10, 2026

Last NPPES UpdateSeptember 1, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 1, 2026

✔ NPI 1285552794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in WI · 18636-33

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

410 E ANN ST, Weyauwega, WI 54983

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Secondary Practice Location 1

Location 1410 E Ann StWeyauwega, WI 54983-8403 · Phone (920) 660-2108

Other Identifiers 1

Medicaid100428235WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kimberly Brundidge Dnp, Apnp, Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9638637069

PECOS Enrollment IDI20260817001742

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 Reassignment

Medicare enrollment records show Kimberly Brundidge reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Aurora Quick Care, LLC

91 mi

Nurse Practitioner

11270 N PORT WASHINGTON RD
Mequon, WI 53092

Reassigned Medicare billing, Wisconsin enrollment
21 clinicians in this Medicare group

NPI 1609820729 (262) 241-1022

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 54983 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WEYAUWEGA-FREMONT SCHOOL DISTRICT

Local Education Agency (LEA)

410 E ANN ST
WEYAUWEGA, WI 54983

Waupaca County (920) 867-2148

SARAH ELIZABETH ZIMMERMANN

Nurse Practitioner (Family)

410 E ANN ST
WEYAUWEGA, WI 54983

Waupaca County (920) 867-8860

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 Kimberly Brundidge's NPI number?

The NPI number for Kimberly Brundidge is 1285552794. It was assigned to this individual provider in the NPPES registry on July 10, 2026.

Where is Kimberly Brundidge located?

Kimberly Brundidge practices at 410 E Ann St, Weyauwega, WI 54983. The listed phone number is (920) 867-8961.

What is Kimberly Brundidge's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kimberly Brundidge enrolled in Medicare?

Yes. Kimberly Brundidge is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kimberly Brundidge's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Brundidge reassigns Medicare benefits to Aurora Quick Care, LLC (Mequon, 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 Kimberly Brundidge's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Brundidge accept?

Health plans from CareSource (Common Ground Healthcare) list Kimberly Brundidge 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 Kimberly Brundidge was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 60 days 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.