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

Lydia Chardel Bruenjes, PA

Individual provider Physician Assistant · NPI 1720566847

Lydia Chardel Bruenjes, PA is a Physician Assistant in Fargo, North Dakota. Qualified in 2017, 9 years ago. Practices with Innovis Health LLC, a 573-clinician group and accepts Medicare assignment. Licensed in Michigan, Minnesota and North Dakota.

Years since qualifying
9
Licensed in
MI, MN, ND
In the registry since
2018
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

4110 51st Ave S
Fargo, ND 58104-7776
Phone: (017) 364-3100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PAC0931 (ND)
Physician Assistant Taxonomy 363A00000X · Licence 5601008509 (MI)
Physician Assistant Taxonomy 363A00000X · Licence 13972 (MN)

Record details

NPI number1720566847
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 31, 2018
Last updated in NPPESMarch 21, 2022
Certification dateMarch 21, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Innovis Health Llc — 573 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients87
Services billed 91 a service is one billed item, such as a visit, a test or a procedure
Average patient age69

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

  • Essentia Health Hospital · Fargo, ND

Colleagues at Innovis Health LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 573 clinicians in the practice; 12 are shown here.

Other providers in Fargo