Nicole Renee Brunaugh, NP - Medicare Nurse Practitioner in Alton, IL

Nicole Renee Brunaugh, NP is a medicare enrolled "Nurse Practitioner - Primary Care" in Alton, Illinois. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Applebaum Physiatry Pllc and her current practice location is #2 Memorial Dr., Suite 103, Alton, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 463-7246.

Nicole Renee Brunaugh is licensed to practice in Illinois (license number 209022501) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1750958351.

Contact Information

Nicole Renee Brunaugh, NP
#2 Memorial Dr., Suite 103,
Alton, IL 62002-6723
(618) 463-7246
Not Available

Map and Direction




Provider's Profile

Full NameNicole Renee Brunaugh
GenderFemale
SpecialityNurse Practitioner
Experience4 Years
Location#2 Memorial Dr., Alton, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Nicole Renee Brunaugh graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1750958351
  • Provider Enumeration Date: 06/10/2021
  • Last Update Date: 06/10/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2264838143
  • Enrollment ID: I20210831003095

Medical Identifiers

Medical identifiers for Nicole Renee Brunaugh such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750958351NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP2300XNurse Practitioner - Primary Care 209022501 (Illinois)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Applebaum Physiatry Pllc872945343653

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. Nicole Renee Brunaugh allows following entities to bill medicare on her behalf.
Entity NameAssociated Physicians Group Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811940893
PECOS PAC ID: 5698674802
Enrollment ID: O20040107000499
Entity NameMidwest Anesthesia Providers Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295189082
PECOS PAC ID: 9830480581
Enrollment ID: O20160628000182
Entity NameMidwest Anesthesia Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558719617
PECOS PAC ID: 8921387390
Enrollment ID: O20161221000252
Entity NameApplebaum Physiatry Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700598059
PECOS PAC ID: 8729453436
Enrollment ID: O20230412000147
Entity NameInterventional Pain Institute, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336461771
PECOS PAC ID: 1153451919
Enrollment ID: O20240122000604

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. Nicole Renee Brunaugh 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 AddressPractice Location Address
Nicole Renee Brunaugh, NP
2 Memorial Dr Ste 103,
Alton, IL 62002-6723

Ph: () -
Nicole Renee Brunaugh, NP
#2 Memorial Dr., Suite 103,
Alton, IL 62002-6723

Ph: (618) 463-7246

Reviews and Comments


Nurse Practitioner Nurses in Alton, IL

Mrs. Misty D Biciocchi, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4 Memorial Dr, Ste 134, Alton, IL 62002
Phone: 618-607-1340    Fax: 618-622-9724
Lee A Tardino, MSN ANP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4 Memorial Dr Ste 210, Alton, IL 62002
Phone: 618-463-5905    Fax: 618-463-5935
Jodi R Lutz, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1650 Washington Ave, Alton, IL 62002
Phone: 314-687-2735    
Lisa K James, ANP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4 Memorial Dr Ste 230, Alton, IL 62002
Phone: 618-433-6170    
Lindsey Nicole Erickson, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2 Memorial Dr Ste 220, Alton, IL 62002
Phone: 314-953-8799    Fax: 314-953-8798
Laura L Brandenburg, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4 Memorial Dr, Ste 230b, Alton, IL 62002
Phone: 618-463-7777    Fax: 618-463-7767
Kelsey M Beard, FNP-BC, DNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4 Memorial Dr Ste 210, Alton, IL 62002
Phone: 618-463-5905    Fax: 618-463-5035

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.