Mrs Ashley Dawn Bruursema, NNP-BC in Grand Rapids, MI

Mrs Ashley Dawn Bruursema, NNP-BC is a medicare enrolled "Nurse Practitioner - Neonatal, Critical Care" in Grand Rapids, Michigan. Her current practice location is 100 Michigan St Ne # Mc845, Grand Rapids, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 486-6790.

Mrs Ashley Dawn Bruursema is licensed to practice in Michigan (license number 4704295171) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1164184834.

Contact Information

	Mrs Ashley Dawn Bruursema, NNP-BC
	100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560
	(616) 486-6790
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Ashley Dawn Bruursema
Gender	Female
Speciality	Nurse Practitioner - Neonatal, Critical Care
Location	100 Michigan St Ne # Mc845, Grand Rapids, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164184834
Provider Enumeration Date: 10/11/2021
Last Update Date: 01/12/2022

Medicare PECOS Information:

PECOS PAC ID: 9931597655
Enrollment ID: I20211029002331

Medical Identifiers

Medical identifiers for Mrs Ashley Dawn Bruursema such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164184834	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LN0005X	Nurse Practitioner - Neonatal, Critical Care	4704295171 (Michigan)	Primary

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. Mrs Ashley Dawn Bruursema allows following entities to bill medicare on her behalf.

Entity Name	Mecosta County Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386693471 PECOS PAC ID: 1951215540 Enrollment ID: O20031118000335

Entity Name	Spectrum Health United
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457304495 PECOS PAC ID: 6305836487 Enrollment ID: O20040612000087

Entity Name	Memorial Medical Center Of West Michigan
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972589489 PECOS PAC ID: 3678543659 Enrollment ID: O20071128000647

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. Mrs Ashley Dawn Bruursema 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 Address	Practice Location Address
Mrs Ashley Dawn Bruursema, NNP-BC 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560 Ph: (616) 486-6790	Mrs Ashley Dawn Bruursema, NNP-BC 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560 Ph: (616) 486-6790

Reviews and Comments

Nurse Practitioner Nurses in Grand Rapids, MI

Paul Dieleman, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1131 Ionia Ave Nw, Grand Rapids, MI 49503 Phone: 616-259-7900 Fax: 616-259-7909
Dr. Katherine Pruss, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3201 Burton St Se, Sb 260, Grand Rapids, MI 49546 Phone: 616-526-6808
Vanessa Rae Smitko, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2770 E Beltline Ave Ne, Grand Rapids, MI 49525 Phone: 616-267-8860
Khira Lauren Benson, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 25 Michigan St Ne Ste 4200, Grand Rapids, MI 49503 Phone: 616-267-9150
Cassandra Cummings, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503 Phone: 616-486-6790
Anne Therese Beauchamp, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1055 Medical Park Dr Se, Grand Rapids, MI 49546 Phone: 616-942-9610
Mary Barr, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4100 Lake Dr Se Ste 200, Grand Rapids, MI 49546 Phone: 616-391-3759

Mrs Ashley Dawn Bruursema, NNP-BC - Medicare Nurse Practitioner in Grand Rapids, MI