Prunetta O Brunson, FNP - Medicare Nurse Practitioner in Roanoke, VA

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Prunetta O Brunson, FNP is a medicare enrolled "Nurse Practitioner - Family" in Roanoke, Virginia. She graduated from nursing school in 2017 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mchs Hospitals Inc, Langlade Hospital - Hotel Dieu Of St Joseph Of Antigo Wisconsin, Aspirus Medford Hospital And Clinics Inc, Musc Community Physicians, Divine Savior Healthcare Inc, Aspirus Wausau Hospital Inc and her current practice location is 1906 Belleview Ave Se, Roanoke, Virginia. You can reach out to her office (for appointments etc.) via phone at (540) 981-7000.

Prunetta O Brunson is licensed to practice in Virginia (license number 0024185143) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1538662556.

Contact Information

Prunetta O Brunson, FNP
1906 Belleview Ave Se,
Roanoke, VA 24014-1838
(540) 981-7000
(540) 853-0931

Map and Direction




Provider's Profile

Full NamePrunetta O Brunson
GenderFemale
SpecialityNurse Practitioner
Experience9 Years
Location1906 Belleview Ave Se, Roanoke, Virginia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Prunetta O Brunson graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1538662556
  • Provider Enumeration Date: 03/15/2018
  • Last Update Date: 06/19/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 8820353071
  • Enrollment ID: I20240314000164

Medical Identifiers

Medical identifiers for Prunetta O Brunson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538662556NPI-NPPES
NP5114MedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 21737 (South Carolina)Secondary
363LF0000XNurse Practitioner - Family 21737 (South Carolina)Secondary
363LF0000XNurse Practitioner - Family 15259 (Wisconsin)Secondary
363LF0000XNurse Practitioner - Family 0024185143 (Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Marshfield Medical Center - Eau ClaireEau claire, WIHospital
Aspirus Langlade HospitalAntigo, WIHospital
Aspirus Medford Hospital & Clinics, IncMedford, WIHospital
Aspirus Divine Savior HospitalPortage, WIHospital
Musc Health Columbia Medical Center DowntownColumbia, SCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mchs Hospitals Inc56980711731195
Langlade Hospital - Hotel Dieu Of St Joseph Of Antigo Wisconsin155727120286
Aspirus Medford Hospital And Clinics Inc5799688602126
Musc Community Physicians65072606681353
Divine Savior Healthcare Inc5799684007135
Aspirus Wausau Hospital Inc6406757442242

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. Prunetta O Brunson allows following entities to bill medicare on her behalf.
Entity NameAspirus Stanley Hospital & Clinics Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1053391730
PECOS PAC ID: 8325957095
Enrollment ID: O20030707000040
Entity NameMarshfield Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952347981
PECOS PAC ID: 2264345206
Enrollment ID: O20031106000590
Entity NameAspirus Stanley Hospital & Clinics Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356311252
PECOS PAC ID: 8325957095
Enrollment ID: O20040102000347
Entity NameAspirus Wausau Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922321140
PECOS PAC ID: 6406757442
Enrollment ID: O20040114000297
Entity NameAspirus Medford Hospital & Clinics Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285703173
PECOS PAC ID: 5799688602
Enrollment ID: O20040129000007
Entity NameBeaver Dam Community Hospitals Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972188555
PECOS PAC ID: 2567370539
Enrollment ID: O20040210000666
Entity NameLanglade Hospital - Hotel Dieu of St Joseph of Antigo Wisconsin
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831251040
PECOS PAC ID: 1557271202
Enrollment ID: O20040212000310
Entity NameDivine Savior Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124083894
PECOS PAC ID: 5799684007
Enrollment ID: O20040225000909
Entity NameAspirus Merrill Hospital & Clinics Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124084678
PECOS PAC ID: 0143117556
Enrollment ID: O20040301001179
Entity NameMemorial Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346239373
PECOS PAC ID: 2365433224
Enrollment ID: O20040519001426
Entity NameAspirus Stevens Point Hospital & Clinics, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538112230
PECOS PAC ID: 1850358938
Enrollment ID: O20041210000558
Entity NameAspirus Merrill Hospital & Clinics Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1124084678
PECOS PAC ID: 0143117556
Enrollment ID: O20061104000516
Entity NameFlambeau Hospital, Inc.
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1700963048
PECOS PAC ID: 9032029871
Enrollment ID: O20070828000478
Entity NameAspirus Medford Hospital & Clinics Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1619079597
PECOS PAC ID: 5799688602
Enrollment ID: O20071211000401
Entity NameLanglade Hospital - Hotel Dieu of St Joseph of Antigo Wisconsin
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1639187412
PECOS PAC ID: 1557271202
Enrollment ID: O20110126000993
Entity NameMemorial Hospital Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1346239373
PECOS PAC ID: 2365433224
Enrollment ID: O20110526000807
Entity NameAspirus Stanley Hospital & Clinics Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053391730
PECOS PAC ID: 8325957095
Enrollment ID: O20140321001620
Entity NameMchs Hospitals Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093221434
PECOS PAC ID: 5698071173
Enrollment ID: O20180208000096
Entity NameLakeview Medical Center Inc of Rice Lake
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093201832
PECOS PAC ID: 6103737820
Enrollment ID: O20180817001484
Entity NameMchs Hospitals Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1952890873
PECOS PAC ID: 5698071173
Enrollment ID: O20180904002962
Entity NameFlambeau Hospital, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194317966
PECOS PAC ID: 9032029871
Enrollment ID: O20210409000059

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. Prunetta O Brunson 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 AddressPractice Location Address
Prunetta O Brunson, FNP
213 S Jefferson St Ste 1006,
Roanoke, VA 24011-1713

Ph: Not Available		Prunetta O Brunson, FNP
1906 Belleview Ave Se,
Roanoke, VA 24014-1838

Ph: (540) 981-7000

Reviews and Comments


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Ashlyn Brooke Conrad,
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Phone: 540-981-7000    
Brandlene Leigh Ratcliffe,
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Phone: 540-283-6000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.