MALLORY BELANGER BRUNEAU
NPI 1578339164
Nurse Practitioner - Acute Care in Tilton, NH

Q: 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.

Q: What is Mallory Bruneau's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: 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 20 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.

Active since November 27, 2023PECOS EnrolledAccepts Medicare Assignment

139 WINTER ST, TILTON, NH 03276(603) 527-4400 Get Directions Write a Review

NPPES record last updated: December 13, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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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 Speare Memorial Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1578339164

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameMALLORY BELANGER BRUNEAU

Location Address139 WINTER STTilton, NH 03276-5415

Mailing Address18 Ty LnConcord, NH 03303-1049

Phone(603) 527-4400

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateNovember 27, 2023

Last NPPES UpdateDecember 13, 2024

NPPES CertifiedDecember 13, 2024

✔ NPI 1578339164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in NH · 075906-23

139 WINTER ST, Tilton, NH 03276

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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

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.

PECOS PAC ID5496105835

PECOS Enrollment IDI20231227000830

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.

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

308 services90 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

50 services35 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

15 services11 patients

Hospital Affiliations CMS Care Compare

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

Speare Memorial Hospital

Critical Access Hospitals · Plymouth, NH

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number301311

Location16 Hospital RoadPlymouth, NH 03264 · Grafton County

Emergency services Birthing friendly

Physician 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.

New Patient

$89.14 typical visit price

range $57.75 – $174.26

Typical copayment $22.28 (range $14.43 – $43.56)

Most-billed visit code 99203

Established Patient

$101.54 typical visit price

range $18.70 – $142.15

Typical copayment $25.38 (range $4.67 – $35.53)

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 6

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

ACHIEVEMENT THERAPY SERVICES, LLC

Clinic/Center (Physical Therapy)