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Active NPI 1487917613 Individual Practitioner Female Practitioner

Jacqlene Christina Bruno , PA-C

Physician Assistant • Royal Oak, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jacqlene Bruno, PA-C is a certified Physician Assistant practicing in Royal Oak, MI. With approximately 14 years of clinical experience since completing medical education in 2012, Jacqlene Bruno delivers high-quality medical care to the local community at 3555 W 13 MILE RD STE N120.

Jacqlene Bruno maintains professional affiliations with Beaumont Medical Group- Specialty Services, Henry Ford Macomb Hospital Corporation and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with straightforward or low-level medical decision making, if using time, at least, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3555 W 13 Mile Rd Ste N120

Royal Oak, MI 480736710

Telephone 8558638761
Fax 2485512301
Associated Practice Facility / Clinic
🏢 Botsford General Hospital Facility NPI 1114935566

Medicare Profile & Education

Medical School

Other

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Royal Oak, MI

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
14 Yrs +1.5 yrs vs City Avg
City Avg: 12.5 Yrs
State Avg: 12.2 Yrs
Regional Practice Density
211 Specialists

Practicing in Royal Oak, MI (7057 Statewide)

Telehealth Adoption Rate
6.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
61.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bruno (14 Years) 14 Yrs
Royal Oak Specialty Average (12.5 Years) 12.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
17 17 $296.00 $113.06

Medical Specialties & State Licenses

CMS Verified: 2021-01-22
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MI 5601006361

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Henry Ford Macomb Hospital Corporation

15855 19 Mile Rd, Clinton Township, MI 480383504

Phone: 5862632300

Beaumont Medical Group- Specialty Services

28100 Grand River Ave, Farmington Hills, MI 483365970

Henry Ford Macomb Hospital Corporation

15717 15 Mile Rd, Clinton Township, MI 480352101

Beaumont Medical Group- Specialty Services

3601 W 13 Mile Rd, Royal Oak, MI 480736712

Beaumont Medical Group- Specialty Services

3601 W 13 Mile Rd Ec, Royal Oak, MI 480736712

Phone: 2488985058

Secondary Practice Locations

6071 W Outer Dr

Detroit, MI 482352624

Phone: 3139664800

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

24 Associated Practitioners
Dr. Adil Khan , MD

Psychiatry & Neurology - Neurology

NPI 1013335967

Doctor of Medicine (M.D.)

Susan Musto , NP

Nurse Practitioner

NPI 1043636772

Nurse Practitioner

Dr. Maya Zayat , PsyD

Clinical Neuropsychologist

NPI 1063890192

Doctor of Psychology (Psy.D.)

Lisa Kotzen , PA

Physician Assistant

NPI 1174845846

Physician Assistant

Chelsea Swistock , NP

Nurse Practitioner

NPI 1275001968

Nurse Practitioner

Katherine Barta , NURSE PRACTITIONER

Nurse Practitioner - Acute Care

NPI 1306435920

NURSEPRACTITIONER

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location January 22, 2021

Registered at 3555 W 13 MILE RD STE N120, ROYAL OAK, MI 480736710 (Tel: 8558638761)

📍
Updated Business Mailing Address January 22, 2021

Registered at 26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 480333849

NPI Profile Active June 22, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location June 22, 2012

Registered at 6071 W OUTER DR, DETROIT, MI 482352624 (Tel: 3139664800)

📍
Updated Business Mailing Address June 22, 2012

Registered at 742 N RENAUD RD, GROSSE POINTE WOODS, MI 482361722 (Tel: 7343584650)

👤
Provider Name / Credentials Updated June 22, 2012

Recorded as JACQLENE BRUNO, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 22, 2012

Physician Assistant (License #5601006361 in MI)

🟢
Initial NPI Registration & Enumeration June 22, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1487917613
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 22, 2012
Last Update: January 22, 2021
Sole Proprietor: No

Mailing Address

26901 Beaumont Blvd Ste 3d

Southfield, MI 480333849

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.