Lydia Chardel Bruenjes, PA
NPI 1720566847ActiveIndividual· Physician Assistant· Fargo, ND
Physician Assistant (PA) with Innovis Health LLC, practicing in Fargo, North Dakota. 87 Medicare patients in 2024, $3,211 paid; nearly all of their 87 Part D prescriptions were generic (99%). Lists Essentia Health as a hospital affiliation.
Overview
| NPI | 1720566847 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Jul 31, 2018 |
| Last updated in NPPES | Mar 21, 2022 |
| Certified by provider | Mar 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PAC0931 | ND |
| Physician Assistant | 363A00000X | 5601008509 | MI |
| Physician Assistant | 363A00000X | 13972 | MN |
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) | Enrolled Practitioner - Physician Assistant (MN); Practitioner - Physician Assistant (ND) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 87 |
|---|---|
| Services billed | 91 across 7 procedure codes |
| Paid by Medicare | $3,211 |
Part D prescriptions in 2024
| Prescriptions (claims) | 87 · 87 30-day fills |
|---|---|
| Patients | 72 |
| Total drug cost | $485.27 |
| Generic share | 99% of claims |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Innovis Health LLCFargo, ND · 559 clinicians
Hospital affiliation
- Essentia HealthFargo, ND
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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