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

Marissa Bunn

Individual provider Family Nurse Practitioner · NPI 1891327458

Marissa Bunn is a Nurse Practitioner in Brookfield, Wisconsin. Qualified in 2019, 7 years ago. Practices with Ascension Medical Group-Southeast Wisconsin Inc, a 555-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
7
Licensed in
WI
In the registry since
2020
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Practice location Address checks out

17000 W North Ave Ste 107W
Brookfield, WI 53005-4423
Phone: (414) 785-7740
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 22370 Bluemound Rd, Waukesha, WI 53186 — (414) 785-7770

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 9834 (WI)

Record details

NPI number1891327458
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 11, 2020
Last updated in NPPESAugust 28, 2020
Certification dateAugust 28, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Ascension Medical Group-Southeast Wisconsin Inc — 555 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Brookfield