LYDIA CHARDEL BRUENJES PA
NPI 1720566847
Physician Assistant in Fargo, ND

Active since July 31, 2018PECOS EnrolledAccepts Medicare Assignment
4110 51ST AVE S, FARGO, ND 58104(017) 364-3100 Get Directions Write a Review

NPPES record last updated: March 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Lydia Chardel Bruenjes Pa NPPES

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

LYDIA CHARDEL BRUENJES PA (NPI 1720566847) is an individual physician assistant in Fargo, North Dakota, licensed in North Dakota (PAC0931) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS, is affiliated with Essentia Health, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1720566847
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLYDIA CHARDEL BRUENJESCredential: PA
Location Address4110 51ST AVE SFargo, ND 58104-7776
Mailing Address1702 University Dr SFargo, ND 58103-4940
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 31, 2018
Last NPPES UpdateMarch 21, 2022
NPPES CertifiedMarch 21, 2022
NPI 1720566847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in ND · PAC0931 Licensed in MI · 5601008509 Licensed in MN · 13972
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.

4110 51ST AVE S, Fargo, ND 58104

Other Names 1

Former Name (1)Lydi Chardel Stinar

Accepted Insurance

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

Lydia Chardel Bruenjes Pa 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 ID6800132077
PECOS Enrollment IDI20220421000064, I20220429001663
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 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit, 20-29 minutes 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
49 services48 patients
Established patient office or other outpatient visit, 30-39 minutes 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
15 services14 patients
New patient office or other outpatient visit, 30-44 minutes 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Essentia Health

Acute Care Hospitals · Fargo, ND
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350070
Location3000 32nd Ave SouthFargo, ND 58104 · Cass County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58104 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
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$69.48 typical visit price
range $18.11 – $137.65
Typical copayment $17.37 (range $4.52 – $34.41)
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.

Physical Therapist
4110 51ST AVE S
FARGO, ND 58104
Physician Assistant
4110 51ST AVE S
FARGO, ND 58104
Physical Therapist
4110 51ST AVE S
FARGO, ND 58104
Non-Pharmacy Dispensing Site
4110 51ST AVE S
FARGO, ND 58104
Physician Assistant
4110 51ST AVE S
FARGO, ND 58104
Nurse Practitioner (Family)
4110 51ST AVE S
FARGO, ND 58104
Nurse Practitioner
4110 51ST AVE S
FARGO, ND 58104
Nurse Practitioner (Family)
4110 51ST AVE S
FARGO, ND 58104

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720566847, enumerated as an "individual" on July 31, 2018.

The provider is located at 4110 51ST AVE S FARGO, ND 58104 and the phone number is (017) 364-3100.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Medica. Please consult your insurance carrier or call the provider to verify.

Lydia Bruenjes is affiliated with: ESSENTIA HEALTH.