Jill K Brunstad, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2234 Issued in WI

Practice address

302 W Pine St Ste 2
Eagle River, WI 54521-9349

Phone

(715) 891-0088

NPI assigned

Apr 19, 2006

Last updated

Apr 10, 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

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, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nova Integrated Care LLCGroup PAC ID 2860837291, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Aspirus at Home Home health agency, Wausau, WI, CCN 527016
• Aspirus Eagle River Hospital Hospital, Eagle River, WI, CCN 521300
• Marshfield Medical Center - Minocqua Hospital, Minocqua, WI, CCN 520212

Merit-based Incentive Payment System (MIPS)

Final score

80.58 of 100Reported as group

Quality

55.5

Promoting interoperability

100

Improvement activities

40

Cost

71.46

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: jill.brunstad@marshfieldclinichealthsystem.cernerdirect.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.

• Nova Integrated Care LLC

  • Clinic/Center
  • Eagle River, WI
  • NPI 1679355358
  Medicare reassignment Care Compare group Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Aspirus Eagle River Hospital & Clinics, Inc.

  dba Aspirus Eagle River Hospital

  • Critical Access Hospital
  • Eagle River, WI
  • NPI 1346204385
  Care Compare affiliation
• Aspirus Eagle River Hospital, Inc

  dba Aspirus Eagle River Hospital

  • Land Ambulance
  • Eagle River, WI
  • NPI 1790718542

  Hospital

  Care Compare affiliation
• Aspirus Eagle River Hospital, Inc.

  dba Aspirus Eagle River Hospital

  • Emergency Medicine Physician
  • Eagle River, WI
  • NPI 1699728915

  Hospital

  Care Compare affiliation
• Aspirus Vna Home Health, Inc.

  dba Aspirus at Home

  • Home Health Agency
  • Wausau, WI
  • NPI 1770682288
  Care Compare affiliation
• MCHS Hospitals Inc

  dba Marshfield Medical Center - Minocqua

  • Rural Acute Care Hospital
  • Minocqua, WI
  • NPI 1376197665
  Care Compare affiliation

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1902861131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 W PINE ST STE 2",
            "city": "EAGLE RIVER",
            "state": "WI",
            "postal_code": "545219349",
            "telephone_number": "715-891-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 W PINE ST STE 2",
            "city": "EAGLE RIVER",
            "state": "WI",
            "postal_code": "545219349",
            "telephone_number": "715-891-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNSTAD",
        "first_name": "JILL",
        "middle_name": "K",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "001000611",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "2234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawvet Fonbah Asukwa, RPH
• Randall L Athens, RPH
• Kris Ann Barnekow, PHD,OTR/L,IMH-E
• Scott David Beattie, DDS
• Marianne Bergs
• Veronica Jo Shelby Buchweitz, PTA
• Bradley Camp, DDS
• Kathryn A Carr, PTA
• Susan Kay Chobanov
• Kristine Cloutier, C.AC.

• Physician Assistant in Eagle River, WI
• Providers in Eagle River, WI by specialty
• Physician Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.