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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARISSA BRUNI PA-C
NPI 1699693614
Physician Assistant in Grand Rapids, MI

Active since July 07, 2026PECOS Enrolled
1840 WEALTHY ST SE, GRAND RAPIDS, MI 49506(616) 391-1730 Get Directions Write a Review

NPPES record last updated: September 2, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Sep 2, 2026, Jul 7, 2026 (2 updates tracked since 2026).

About Marissa Bruni Pa-c NPPES

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

MARISSA BRUNI PA-C (NPI 1699693614) is an individual physician assistant in Grand Rapids, Michigan, licensed in Michigan (5601014143) and active in the NPI registry since July 2026. She is enrolled in Medicare PECOS and maintains a secondary practice location in Grand Rapids.

NPPES Registry Identity

NPI1699693614
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARISSA BRUNICredential: PA-C
Location Address1840 WEALTHY ST SEGrand Rapids, MI 49506-2921
Mailing Address4100 Embassy Dr Se Ste 200Grand Rapids, MI 49546-2416 · (616) 975-1845
Phone(616) 391-1730
Sole ProprietorYes
Enumeration DateJuly 7, 2026
Last NPPES UpdateSeptember 2, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2026
✔ NPI 1699693614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MI · 5601014143
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1840 WEALTHY ST SE, Grand Rapids, MI 49506
Open in Google Maps ↗

Secondary Practice Location 1

Location 1100 Michigan St NEGrand Rapids, MI 49503-2560 · Phone (616) 391-1730

Other Identifiers 1

Medicaid1699693614MI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marissa Bruni Pa-c 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 49506 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
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 20

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

DR. STEVEN DENHOF D.O.
Emergency Medicine
1840 WEALTHY ST SE
GRAND RAPIDS, MI 49506
Kent County (616) 391-1730
EDWARD K LEE DO
Radiology (Radiation Oncology)
1840 WEALTHY ST SE
EAST GRAND RAPIDS, MI 49506
Kent County (616) 774-7845
BRYANT W PIERCE MD
Emergency Medicine (Emergency Medical Services)
1840 WEALTHY ST SE
GRAND RAPIDS, MI 49506
Kent County (616) 774-7444
ALYSON PETERS
Occupational Therapist
1840 WEALTHY ST SE
GRAND RAPIDS, MI 49506
Kent County (616) 774-7444
DR. SARA RISH URQUHART MD
Emergency Medicine
1840 WEALTHY ST SE
GRAND RAPIDS, MI 49506
Kent County (616) 391-1730
MR. JASON ANDREW RILEY CRNA
Nurse Anesthetist, Certified Registered
1840 WEALTHY ST SE
GRAND RAPIDS, MI 49506
Kent County (616) 774-7870
JUSTIN KYLE ERNST PA-C
Physician Assistant
1840 WEALTHY ST SE
GRAND RAPIDS, MI 49506
Kent County (616) 391-1730
BEESHAE WILKERSON P.A.
Nurse Practitioner
1840 WEALTHY ST SE, MC 426
GRAND RAPIDS, MI 49506
Kent County (616) 774-5221

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 Marissa Bruni's NPI number?

The NPI number for Marissa Bruni is 1699693614. It was assigned to this individual provider in the NPPES registry on July 7, 2026.

Where is Marissa Bruni located?

Marissa Bruni practices at 1840 Wealthy St SE, Grand Rapids, MI 49506. The listed phone number is (616) 391-1730.

What is Marissa Bruni's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Marissa Bruni enrolled in Medicare?

Yes. Marissa Bruni is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Marissa Bruni was last updated on September 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days 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.