KEVIN ANTHONY BRUESKE
NPI 1588028955
Pediatrics in Wyoming, MN

Q: What is Kevin Brueske's NPI number?

The NPI number for Kevin Brueske is 1588028955. It was assigned to this individual provider in the NPPES registry on April 11, 2016.

Q: What is Kevin Brueske's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Brueske was last updated on July 24, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 11, 2016PECOS Enrolled

5200 FAIRVIEW BLVD, WYOMING, MN 55092(651) 982-7000 Get Directions Write a Review

NPPES record last updated: July 24, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Kevin Anthony Brueske NPPES

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

KEVIN ANTHONY BRUESKE (NPI 1588028955) is an individual pediatrics provider in Wyoming, Minnesota, licensed in Minnesota (65419) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1588028955

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameKEVIN ANTHONY BRUESKE

Location Address5200 FAIRVIEW BLVDWyoming, MN 55092

Mailing Address400 Stinson Blvd Fl 2Minneapolis, MN 55413-2614

Phone(651) 982-7000

Sole ProprietorYes

Enumeration DateApril 11, 2016

Last NPPES UpdateJuly 24, 2019

✔ NPI 1588028955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MN · 65419

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

5200 FAIRVIEW BLVD, Wyoming, MN 55092

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford 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 (PECOS)

Kevin Anthony Brueske 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55092 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

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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.

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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.

LINDA KOEHLER

Rehabilitation Practitioner