MALLORY BELANGER BRUNEAU
NPI 1578339164
Nurse Practitioner - Acute Care in Tilton, NH
About Mallory Belanger Bruneau NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MALLORY BELANGER BRUNEAU (NPI 1578339164) is an individual acute care provider in Tilton, New Hampshire, licensed in New Hampshire (075906-23) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS, is affiliated with Concord Hospital- Laconia, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mallory Belanger Bruneau 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.
Medicare Billing Reassignments
2Medicare enrollment records show Mallory Bruneau reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Novi, MI 48375
- Reassigned Medicare billing, New Hampshire enrollment
- 6 clinicians in this Medicare group
Novi, MI 48375
- Reassigned Medicare billing, New Hampshire enrollment
- 36 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.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Concord Hospital- Laconia
Acute Care Hospitals · Laconia, NHConcord Hospital- Franklin
Critical Access Hospitals · Franklin, NHSpeare Memorial Hospital
Critical Access Hospitals · Plymouth, NHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 03276 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TILTON, NH 03276
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 Mallory Bruneau's NPI number?
The NPI number for Mallory Bruneau is 1578339164. It was assigned to this individual provider in the NPPES registry on November 27, 2023.
Where is Mallory Bruneau located?
Mallory Bruneau practices at 139 Winter St, Tilton, NH 03276. The listed phone number is (603) 527-4400.
What is Mallory Bruneau's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Mallory Bruneau enrolled in Medicare?
Yes. Mallory Bruneau is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Mallory Bruneau's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mallory Bruneau reassigns Medicare benefits to 2 organizations: Complexcare Medical Group Northeast H PLLC (Novi, MI) and Theoria Medical (Novi, MI). Each 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 Mallory Bruneau's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mallory Bruneau accept?
Health plans from Anthem Blue Cross and Blue Shield, UnitedHealthcare and WellSense Health Plan list Mallory Bruneau 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.
Is Mallory Bruneau affiliated with any hospitals?
According to CMS data, Mallory Bruneau is affiliated with Concord Hospital- Laconia, Concord Hospital- Franklin and Speare Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Mallory Bruneau was last updated on December 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.
# Mallory Belanger Bruneau · NPI 1578339164
Acute Care physician in Tilton, New Hampshire. Individual provider, active in the CMS NPPES registry since November 27, 2023.
## Identity
- **NPI:** 1578339164 (Entity type: Individual)
- **Enumerated:** November 27, 2023
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 075906-23 (New Hampshire)
- **Sole proprietor:** No
## Practice location
- **Address:** 139 WINTER ST, Tilton, NH 03276-5415
- **Phone:** (603) 527-4400
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Complexcare Medical Group Northeast H PLLC (NPI 1811881063, Novi, MI); Theoria Medical (NPI 1609362375, Novi, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** December 13, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1578339164) · Data from the CMS NPPES public registry.