Trishelle Brungard, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

15085 Issued in MN

Practice address

415 17TH Ave N
Hopkins, MN 55343-7224

Phone

(952) 931-1276

NPI assigned

Nov 22, 2024

Last updated

Nov 27, 2024By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Physician Assistant

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Group practices

Advocate Urgent Care PLLCGroup PAC ID 4880043082, 18 clinicians

MN UC Providers LTDGroup PAC ID 8729461421, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• MN UC Providers LTD

  dba American Family Care

  • Urgent Care Clinic/Center
  • Hopkins, MN
  • NPI 1871265074
  Medicare reassignment Care Compare group NPD
• Advocate Urgent Care PLLC

  • Multi-Specialty Clinic/Center
  • Zimmerman, MN
  • NPI 1568245397
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1732233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1669297776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15973 ELMWOOD WAY",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551244250",
            "telephone_number": "570-939-7294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 17TH AVE N",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "553437224",
            "telephone_number": "952-931-1276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNGARD",
        "first_name": "TRISHELLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-22",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "15085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bright ABA Services LLC (BrightHealth)
• Brightstar Children's Therapy, LLP
• Kristy Brokl
• Brooke Evans, LLC (Redbird Counseling)
• Elizabeth Turbak Brown, LICSW
• Andrew Buechner, PHARMD
• Bisi Burks, NURSE PRACTITIONER
• Daniel Burnes
• Meredith N Butulis, P.T.
• Larry Paul Caldwell, D.O.M., L.AC.

• Physician Assistant in Hopkins, MN
• Providers in Hopkins, MN by specialty
• Physician Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; 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.