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NICOLE BRUNNER
NPI 1295269173
Student in an Organized Health Care Education/Training Program in Gainesville, FL

Active since April 17, 2017PECOS Enrolled
1600 SW ARCHER RD, GAINESVILLE, FL 32610(786) 999-5995 Get Directions Write a Review

NPPES record last updated: April 17, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicole Brunner NPPES

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

NICOLE BRUNNER (NPI 1295269173) is an individual student in an organized health care education/training program in Gainesville, Florida and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295269173
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameNICOLE BRUNNER
Location Address1600 SW ARCHER RDGainesville, FL 32610-3003
Mailing Address1600 Sw Archer RdGainesville, FL 32610-3003
Phone(786) 999-5995
Sole ProprietorNo
Enumeration DateApril 17, 2017
✔ NPI 1295269173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1600 SW ARCHER RD, Gainesville, FL 32610
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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)

Nicole Brunner 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.

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.

DR. BAHAREH EBADIFAR KEITH DO
Pediatrics
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 273-0462
AFRASYAB KHAN
Surgery
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 265-0680
GULSUN ERDAG MD
Pathology (Anatomic Pathology & Clinical Pathology)
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 265-9900
DR. ALBERT H. MATTIA D.D.S.
Dentist (Prosthodontics)
1600 SW ARCHER RD, D4-4
GAINESVILLE, FL 32610
Alachua County (352) 273-5801
JOANNA CHAFFIN
Pathology (Anatomic Pathology & Clinical Pathology)
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 627-9272
DR. CASEY JUSTIN BEAL MD
Ophthalmology
1600 SW ARCHER RD, BOX 100284
GAINESVILLE, FL 32610
Alachua County (352) 273-8778
WILLIAM CRAIG HICKS CRNA
Nurse Anesthetist, Certified Registered
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 273-6438
HENRY FONTILLAS PATALINGHUG CRNA
Nurse Anesthetist, Certified Registered
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 273-6438

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 Nicole Brunner's NPI number?

The NPI number for Nicole Brunner is 1295269173. It was assigned to this individual provider in the NPPES registry on April 17, 2017.

Where is Nicole Brunner located?

Nicole Brunner practices at 1600 SW Archer Rd, Gainesville, FL 32610. The listed phone number is (786) 999-5995.

What is Nicole Brunner's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Nicole Brunner enrolled in Medicare?

Yes. Nicole Brunner is registered in the Medicare PECOS enrollment system.

What insurance does Nicole Brunner accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Nicole Brunner 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 Nicole Brunner was last updated on April 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.