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

MARILYN ANNE BRUDERER APRN
NPI 1962461863
Nurse Practitioner - Adult Health in Manchester, NH

Q: What is Marilyn Bruderer's NPI number?

The NPI number for Marilyn Bruderer is 1962461863. It was assigned to this individual provider in the NPPES registry on March 20, 2006.

Q: What is Marilyn Bruderer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Marilyn Bruderer was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 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.

Active since March 20, 2006PECOS Enrolled

718 SMYTH RD, VA MEDICAL CENTER, MANCHESTER, NH 03104(603) 624-4366(603) 626-6572 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Marilyn Anne Bruderer Aprn NPPES

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

MARILYN ANNE BRUDERER APRN (NPI 1962461863) is an individual adult health provider in Manchester, New Hampshire, licensed in Utah (204393-4405) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962461863

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameMARILYN ANNE BRUDERERCredential: APRN

Location Address718 SMYTH RD, VA MEDICAL CENTERManchester, NH 03104-7004

Mailing Address177 Howe StMethuen, MA 01844-2128 · (978) 688-5743

Phone(603) 624-4366

Fax(603) 626-6572

Sole ProprietorNo

Enumeration DateMarch 20, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1962461863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in UT · 204393-4405

718 SMYTH RD, Manchester, NH 03104

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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 (PECOS)

Marilyn Anne Bruderer Aprn 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 03104 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 20

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

EMORFIA P VALKANOS RPH

Pharmacist

718 SMYTH RD
MANCHESTER, NH 03104

Hillsborough County (603) 624-4366

MR. GIL THOMAS RUECK MSPT

Physical Therapist

718 SMYTH RD
MANCHESTER, NH 03104

Hillsborough County (603) 624-4366

DR. SUSAN JUDITH ZLOTNICK-HALE MD

Family Medicine

718 SMYTH RD, MANCHESTER VA MEDICAL CENTER - PRIMARY CARE
MANCHESTER, NH 03104

Hillsborough County (800) 892-8384

MR. STEVEN GERARD OTTARIANO RPH

Pharmacist

718 SMYTH RD
MANCHESTER, NH 03104

Hillsborough County (603) 624-4366

TRACY LYNN MEYER BSN, RN

Registered Nurse

718 SMYTH RD
MANCHESTER, NH 03104

Hillsborough County (603) 624-4366

DR. VICTOR GORDAN MD

Internal Medicine

718 SMYTH RD
MANCHESTER, NH 03104

Hillsborough County (603) 624-4366

KAREN J GUSTAFSON

Registered Nurse

718 SMYTH RD
MANCHESTER, NH 03104

Hillsborough County (603) 624-4366

MS. BARBARA ELLEN PINES-BROWN LICSW

Social Worker (Clinical)

718 SMYTH RD
MANCHESTER, NH 03104

Hillsborough County (603) 624-4366

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 Marilyn Bruderer's NPI number?

The NPI number for Marilyn Bruderer is 1962461863. It was assigned to this individual provider in the NPPES registry on March 20, 2006.

Where is Marilyn Bruderer located?

Marilyn Bruderer practices at 718 Smyth Rd VA Medical Center, Manchester, NH 03104. The listed phone number is (603) 624-4366.

What is Marilyn Bruderer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Marilyn Bruderer enrolled in Medicare?

Yes. Marilyn Bruderer is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Marilyn Bruderer was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 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.