THERESA M BRUNETTO NP
NPI 1972532596
Nurse Practitioner in Eau Claire, WI

Q: What is Theresa Brunetto's NPI number?

The NPI number for Theresa Brunetto is 1972532596. It was assigned to this individual provider in the NPPES registry on July 3, 2006. The provider is also known as Theresa M Daugherty Np.

Q: What is Theresa Brunetto's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Theresa Brunetto was last updated on June 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since July 03, 2006PECOS EnrolledAccepts Medicare Assignment

1400 BELLINGER ST, EAU CLAIRE, WI 54703(715) 838-5222 Get Directions Write a Review

NPPES record last updated: June 29, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 29, 2021, Sep 11, 2020 (2 updates tracked since 2020).

On this page

About Theresa M Brunetto Np NPPES

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

THERESA M BRUNETTO NP (NPI 1972532596) is an individual nurse practitioner in Eau Claire, Wisconsin, licensed in Wisconsin (2380) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Mayo Clinic Health System Eau Claire Hospital, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1972532596

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameTHERESA M BRUNETTOCredential: NP

Location Address1400 BELLINGER STEau Claire, WI 54703-5222

Mailing Address200 1st St SwRochester, MN 55905-1510 · (715) 838-5222

Phone(715) 838-5222

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateJuly 3, 2006

Last NPPES UpdateJune 29, 20212 updates tracked since enumeration

NPPES CertifiedJune 29, 2021

✔ NPI 1972532596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in WI · 2380

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1400 BELLINGER ST, Eau Claire, WI 54703

Open in Google Maps ↗

Other Names 1

Former Name (1)Theresa M Daugherty Np

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Theresa M Brunetto Np 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 ID7517945173

PECOS Enrollment IDI20060726000011

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.

Medicare Billing Reassignment

Medicare enrollment records show Theresa Brunetto reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mayo Clinic Health System-Northwest Wisconsin Region, Inc.

1.4 mi

Multi-Specialty

733 W CLAIREMONT AVE
Eau Claire, WI 54701

Reassigned Medicare billing, Wisconsin enrollment
1,248 clinicians in this Medicare group

NPI 1235588831 (715) 838-5222

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Mayo Clinic Health System Eau Claire Hospital

Acute Care Hospitals · Eau Claire, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520070

Location1221 Whipple StEau Claire, WI 54703 · Eau Claire County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54703 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

ELLEN A CHRISTENSEN OT

Occupational Therapist