Nicole Marie Brunner, CNM in Winston Salem, NC - Medicare Advanced Practice Midwife

Nicole Marie Brunner, CNM is a medicare enrolled "Advanced Practice Midwife" in Winston Salem, North Carolina. Her current practice location is 500 Shepherd St Ste 200, Winston Salem, North Carolina. You can reach out to her office (for appointments etc.) via phone at (336) 716-6893.

Nicole Marie Brunner is licensed to practice in Wisconsin (license number 1839) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1346356953.

Contact Information

	Nicole Marie Brunner, CNM
	500 Shepherd St Ste 200, Winston Salem, NC 27103-1633
	(336) 716-6893
	(336) 768-3443

Map and Direction

Provider's Profile

Full Name	Nicole Marie Brunner
Gender	Female
Speciality	Advanced Practice Midwife
Location	500 Shepherd St Ste 200, Winston Salem, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346356953
Provider Enumeration Date: 08/23/2006
Last Update Date: 04/10/2026

Medicare PECOS Information:

PECOS PAC ID: 5496790107
Enrollment ID: I20050623000075

Medical Identifiers

Medical identifiers for Nicole Marie Brunner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346356953	NPI	-	NPPES
39909500	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367A00000X	Advanced Practice Midwife	000343IP (North Carolina)	Secondary
367A00000X	Advanced Practice Midwife	1839 (Wisconsin)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nicole Marie Brunner allows following entities to bill medicare on her behalf.

Entity Name	Aurora Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Marie Brunner is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Nicole Marie Brunner, CNM 500 Shepherd St Ste 200, Winston Salem, NC 27103-1633 Ph: (336) 716-6893	Nicole Marie Brunner, CNM 500 Shepherd St Ste 200, Winston Salem, NC 27103-1633 Ph: (336) 716-6893

Reviews and Comments

Advanced Practice Midwife Nurses in Winston Salem, NC

Lori Grissett Scott, C.N.M. Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-4039
Mrs. Angela Marie Todd, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 3333 Silas Creek Pkwy, Winston Salem, NC 27103 Phone: 336-718-5000
Isabel Cristina Jean, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-4039
Latanya Nicole Parchment, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-4039 Fax: 336-716-6937
Sheila Ann Billings, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255
Tamara Kathleen Brothers, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 245 Charlois Blvd Ste C, Winston Salem, NC 27103 Phone: 336-718-6280 Fax: 336-718-6289

Nicole Marie Brunner, CNM - Medicare Advanced Practice Midwife in Winston Salem, NC