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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

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

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 added: September 1, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

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

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 and maintains a secondary practice location in Weyauwega.

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
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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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).

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 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.

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 18 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.