SALLY LYNN BRUESTLE PA
NPI 1295255693
Physician Assistant in Silver Bay, MN

Q: What is Sally Bruestle's NPI number?

The NPI number for Sally Bruestle is 1295255693. It was assigned to this individual provider in the NPPES registry on June 27, 2017. The provider is also known as Sally Lynn Spitzer.

Q: What is Sally Bruestle's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Sally Bruestle was last updated on July 21, 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 June 27, 2017PECOS EnrolledAccepts Medicare Assignment

50 OUTER DR, SILVER BAY, MN 55614(218) 226-4431(218) 226-4425 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Dec 16, 2020, Jan 12, 2019 and 1 more (4 updates tracked since 2017).

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About Sally Lynn Bruestle Pa NPPES

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

SALLY LYNN BRUESTLE PA (NPI 1295255693) is an individual physician assistant in Silver Bay, Minnesota and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with St Lukes Hospital, and is a graduate of Sanford School Of Medicine Of University Of South Dakota (2017).

NPPES Registry Identity

NPI1295255693

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameSALLY LYNN BRUESTLECredential: PA

Location Address50 OUTER DRSilver Bay, MN 55614-1102

Mailing Address50 Outer DrSilver Bay, MN 55614-1102 · (218) 226-4431 · Fax (218) 226-4425

Phone(218) 226-4431

Fax(218) 226-4425

Sole ProprietorNo

Medical School CMSSanford School Of Medicine Of University Of South DakotaGraduated 2017

Enumeration DateJune 27, 2017

Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration

NPPES CertifiedDecember 16, 2020

✔ NPI 1295255693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

50 OUTER DR, Silver Bay, MN 55614

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Other Names 1

Former Name (1)Sally Lynn Spitzer

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica, Security Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sally Lynn Bruestle Pa 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.

PECOS PAC ID9537426549

PECOS Enrollment IDI20171129003035

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.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Lukes Hospital

Acute Care Hospitals · Duluth, MN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240047

Location915 East 1st StreetDuluth, MN 55805 · St. Louis County

Emergency services Birthing friendly

Lake View Memorial Hospital

Critical Access Hospitals · Two Harbors, MN

OwnershipVoluntary non-profit - Private

CMS Certification Number241308

Location325 Eleventh AveTwo Harbors, MN 55616 · Lake County

Emergency services

Aspirus Wausau Hospital

Acute Care Hospitals · Wausau, WI

4/5 CMS rating

OwnershipProprietary

CMS Certification Number520030

Location333 Pine Ridge BlvdWausau, WI 54401 · Marathon County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55614 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

Most-billed visit code 99213

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 5

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

DR. ADA M. HELLELOID MD

Family Medicine