Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jill K Brunstad, PA

Individual provider Physician Assistant · NPI 1902861131

Jill K Brunstad, PA is a Physician Assistant in Eagle River, Wisconsin. Qualified in 2003, 23 years ago. Practices with Nova Integrated Care LLC, a 3-clinician group and accepts Medicare assignment. Licensed in North Carolina and Wisconsin.

Years since qualifying
23
Licensed in
NC, WI
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

302 W Pine St Ste 2
Eagle River, WI 54521-9349
Phone: (715) 891-0088
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2234 (WI)
Physician Assistant Taxonomy 363A00000X · Licence 001000611 (NC)

Record details

NPI number1902861131
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 19, 2006
Last updated in NPPESApril 10, 2024
Certification dateApril 10, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Nova Integrated Care Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount