Nicole Brunaugh, NP
Nicole Brunaugh, NP is a Gerontology Nurse Practitioner in Alton, IL, registered under NPI 1750958351. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
The practice address on file is #2 MEMORIAL DR. SUITE 103, Alton, IL 62002. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 209022501 | IL | Primary Care Nurse Practitioner |
| 209022501 | IL | Gerontology Nurse Practitioner primary |
This provider holds licence 209022501 issued in IL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Nurse Practitioner
- PAC ID
- 2264838143
- Enrollment ID
- I20210831003095
Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Gerontology covers
Definition to come... NUCC Health Care Provider Taxonomy, code 363LG0600X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 363LP2300X | Primary Care Nurse Practitioner Primary Care | 209022501 | IL | |
| 363LG0600X | Gerontology Nurse Practitioner Gerontology | 209022501 | IL | primary |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1750958351 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Jun 10, 2021 |
| Last updated | Oct 14, 2025 |
| Status | Active |
| Sole proprietor | Yes |
| Gender | Female |
| Credential | NP |
| Practice address |
#2 MEMORIAL DR. SUITE 103 Alton, IL 62002 (618) 463-7246 |
| Mailing address |
2 MEMORIAL DR STE 103 Alton, IL 62002 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 7 | 5 | 0 | 9 | 5 | 8 | 3 | 5 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 7 | 1 | 0 | 9 | 5 | 7 | 3 | 1 |
Sum = 59 · next multiple of 10 = 60 · check digit = 1 · actual last digit = 1
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.