Individual provider Active NPI

Michele L Brunner

  • Family Nurse Practitioner
  • Brentwood, NY
National Provider Identifier
1306451687
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F346462 Issued in NY
Practice address
1725 Brentwood Rd BLDG 3
Brentwood, NY 11717-5543
Phone
(631) 766-6831
Fax
(631) 451-1616
NPI assigned
Sep 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F346462 NY Primary

Addresses

Primary practice location

1725 Brentwood Rd BLDG 3
Brentwood, NY 11717-5543

Mailing address

33 Tower Hill Ave
Farmingville, NY 11738-1912
Phone (631) 766-6831

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Farmingville Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210412001357 NY Practitioner - Nurse Practitioner 3375951361 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Michael Bishai MD, LLCGroup PAC ID 1153693254, 9 clinicians

Practice addresses (Care Compare)

1360
Suite 112
Port Jefferson Station, NY 11776-9998
Phone (631) 473-7100

1725 Brentwood Rd
Brentwood, NY 11717-5543
Phone (631) 766-6831

33 Tower Hill Ave
Farmingville, NY 11738-1912

5 Beach Rd
Massapequa, NY 11758-6614
Phone (516) 550-9865

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40
Cost
67.37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F346462NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Quest Medical Care PC CurrentSince Feb 1, 2021 Accepting new patients
Medical Director Services PC CurrentSince May 11, 2021 Accepting new patients
Compass Family Health, NP., P.L.L.C. CurrentSince Nov 21, 2024 Accepting new patients
Michael Bishai MD, LLC CurrentSince Jan 12, 2022 Accepting new patients
Long Island NP. in Family Health and Massage Therapy PLLC Family PastSince Sep 1, 2020 Accepting new patients

Locations

8 Maple Ave
Bay Shore, NY 11706
Phone (631) 665-4390

1725 Brentwood Rd
Brentwood, NY 11717
Phone (631) 299-3000

1725 Brentwood Rd
Bldg 3
Brentwood, NY 11717
Phone (631) 766-6831

50 Sheffield Ave
Brooklyn, NY 11207
Phone (718) 250-8789

1311 Virginia St
Far Rockaway, NY 11691
Phone (718) 327-2908

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1599955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1306451687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 TOWER HILL AVE",
            "city": "FARMINGVILLE",
            "state": "NY",
            "postal_code": "117381912",
            "telephone_number": "631-766-6831",
            "fax_number": "631-451-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 BRENTWOOD RD BLDG 3",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117175543",
            "telephone_number": "631-766-6831",
            "fax_number": "631-451-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNNER",
        "first_name": "MICHELE",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-13",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F346462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Farmingville",
            "affiliation": "N",
            "endpointDescription": "whats app",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "communication app",
            "address_1": "33 Tower Hill Ave",
            "city": "Farmingville",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117381912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brentwood, NY

Sources for this page

Verify at the official NPI Registry.