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DR. KRISTEN NICOLE BRUNNER DDS
NPI 1801324470
Dentist - General Practice in Fort Wayne, IN

Active since May 26, 2017PECOS Enrolled
1717 S CALHOUN ST, FORT WAYNE, IN 46802(260) 458-2641 Get Directions Write a Review

NPPES record last updated: December 4, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 4, 2019, May 26, 2017 (2 updates tracked since 2017).

About Dr. Kristen Nicole Brunner Dds NPPES

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

DR. KRISTEN NICOLE BRUNNER DDS (NPI 1801324470) is an individual general practice provider in Fort Wayne, Indiana, licensed in Indiana (12012716A) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801324470
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KRISTEN NICOLE BRUNNERCredential: DDS
Location Address1717 S CALHOUN STFort Wayne, IN 46802-5257
Mailing Address1716 Madison StDecatur, IN 46733-1438 · (260) 701-8866
Phone(260) 458-2641
Sole ProprietorNo
Enumeration DateMay 26, 2017
Last NPPES UpdateDecember 4, 20192 updates tracked since enumeration
✔ NPI 1801324470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IN · 12012716A
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1717 S CALHOUN ST, Fort Wayne, IN 46802
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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)

Dr. Kristen Nicole Brunner Dds 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 46802 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

RONALD R HALL M.D.
Pediatrics
1717 S CALHOUN ST
FORT WAYNE, IN 46802
Allen County (260) 458-2641
LINDSEY DIANE HOSKINS
Physician Assistant
1717 S CALHOUN ST
FORT WAYNE, IN 46802
Allen County (260) 458-2541
ALLISON TRELEAVEN O.D.
Optometrist
1717 S CALHOUN ST
FORT WAYNE, IN 46802
Allen County (260) 458-2641
ZELALEM BOGALE AMARE
Dentist (General Practice)
1717 S CALHOUN ST
FORT WAYNE, IN 46802
Allen County (260) 458-2641
MS. LUDMILA ROEBEL NURSE PRACTITIONER
Nurse Practitioner (Women's Health)
1717 S CALHOUN ST
FORT WAYNE, IN 46802
Allen County (260) 458-2641
DR. MIRIVA MAGAR M.D.
Pediatrics
1717 S CALHOUN ST
FORT WAYNE, IN 46802
Allen County (260) 458-2641
TESSA CREAGER
Dentist
1717 S CALHOUN ST
FORT WAYNE, IN 46802
Allen County (260) 458-2641
DR. ANGELA R OJEDA DDS
Dentist (General Practice)
1717 S CALHOUN ST
FORT WAYNE, IN 46802
Allen County (260) 458-2641

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 Kristen Brunner's NPI number?

The NPI number for Kristen Brunner is 1801324470. It was assigned to this individual provider in the NPPES registry on May 26, 2017.

Where is Kristen Brunner located?

Kristen Brunner practices at 1717 S Calhoun St, Fort Wayne, IN 46802. The listed phone number is (260) 458-2641.

What is Kristen Brunner's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Kristen Brunner enrolled in Medicare?

Yes. Kristen Brunner is registered in the Medicare PECOS enrollment system.

What insurance does Kristen Brunner accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and BEST Life and 16 other insurers list Kristen Brunner 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.

When was this NPI record last updated?

The NPPES record for Kristen Brunner was last updated on December 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.