Functional First
NPI 1063076354ActiveOrganization· Nurse Practitioner, Family· Evanston, IL
Nurse Practitioner, Family in Evanston, Illinois, registered in NPPES in April 2019. The authorized official on file is Debra Brunk, APRN, Owner/Nurse Practitioner.
Overview
| NPI | 1063076354 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 23, 2019 |
| Last updated in NPPES | Apr 23, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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