Krystle Brunker, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

291636 Issued in AZ

Practice address

914 N San Francisco St Suite D
Flagstaff, AZ 86001-3110

Phone

(928) 985-1495

NPI assigned

Apr 27, 2022

Last updated

Jun 26, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Optum Behavioral Care of Colorado PCGroup PAC ID 0941648463, 196 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: krystle.brunker.1@28621.direct.athenahealth.com

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

• Optum Behavioral Care of Colorado, P.C.

  dba Northlight Counseling Associates of Arizona

  • Clinical Psychologist
  • Mesa, AZ
  • NPI 1942070370
  Medicare reassignment Care Compare group NPD
• Optum Behavioral Care of Colorado, P.C.

  dba Elevate Mental Health

  • Clinical Psychologist
  • Show Low, AZ
  • NPI 1568272698
  NPD
• Phoenix Mental Health and Wellness PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
  • NPI 1396227609
  NPD
• TMS Arizona PLLC

  dba TMS Arizona

  • Psychiatry Physician
  • Tempe, AZ
  • NPI 1679156525
  NPD
• Optum Behavioral Care of Colorado, P.C.

  • Clinical Social Worker
  • De Pere, WI
  • NPI 1396622494
  NPD

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

{
    "created_epoch": "1651017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1376287052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 N SAN FRANCISCO ST SUITE D",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "86001",
            "telephone_number": "928-985-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 N SAN FRANCISCO ST SUITE D",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013110",
            "telephone_number": "928-985-1495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNKER",
        "first_name": "KRYSTLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-27",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "291636",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0031222",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.491659",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Joseph Brownsberger, MD
• Mary Louisa Brubaker, PA
• Rodger William Brubaker, PHARMACIST
• Chelsea Marie Brumbaugh, NP-C
• Ciara Brooke Brumbaugh
• Tara Nicole Brzezinski
• Anna Jean Buchanan, LMT
• Cindy Bucher, PT
• Samantha Ann Buchika, MD
• Emily Buczkowski, DPT

• Nurse Practitioner in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.