JEFFREY ERIC JOHN BRUNSGAARD
NPI 1356847701
Counselor - Mental Health in Edina, MN
About Jeffrey Eric John Brunsgaard NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEFFREY ERIC JOHN BRUNSGAARD (NPI 1356847701) is an individual mental health provider in Edina, Minnesota, licensed in Minnesota (CC01755) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2008).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jeffrey Eric John Brunsgaard is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jeffrey Brunsgaard reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Edina, MN 55439
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: Affinity Psychological Services PC
- 136 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
EDINA, MN 55439
EDINA, MN 55439
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 Jeffrey Brunsgaard's NPI number?
The NPI number for Jeffrey Brunsgaard is 1356847701. It was assigned to this individual provider in the NPPES registry on April 4, 2018.
Where is Jeffrey Brunsgaard located?
Jeffrey Brunsgaard practices at 7401 Metro Blvd Ste 250, Edina, MN 55439. The listed phone number is (612) 447-0647.
What is Jeffrey Brunsgaard's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Jeffrey Brunsgaard enrolled in Medicare?
Yes. Jeffrey Brunsgaard is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jeffrey Brunsgaard's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Brunsgaard reassigns Medicare benefits to Affinity Psychological Services, P.C. (Edina, MN). 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 Jeffrey Brunsgaard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jeffrey Brunsgaard accept?
Health plans from HealthPartners list Jeffrey Brunsgaard 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 Jeffrey Brunsgaard was last updated on October 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Jeffrey Eric John Brunsgaard · NPI 1356847701
Mental Health provider in Edina, Minnesota. Individual provider, active in the CMS NPPES registry since April 4, 2018.
## Identity
- **NPI:** 1356847701 (Entity type: Individual)
- **Enumerated:** April 4, 2018
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** CC01755 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 7401 METRO BLVD STE 250, Edina, MN 55439-3062
- **Phone:** (612) 447-0647
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Affinity Psychological Services, P.C. (NPI 1245610856, Edina, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** October 7, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1356847701) · Data from the CMS NPPES public registry.