Individual provider Active NPI

Stephanie Ellen Bruno, CRNP

  • Nurse Practitioner
  • Winchester, VA
National Provider Identifier
1013422682
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024180253 Issued in VA
Practice address
1818 Amherst St Ste 201
Winchester, VA 22601-2894
Phone
(540) 450-2339
Fax
(540) 450-2333
NPI assigned
Dec 5, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024180253 VA Primary
Adult Health Nurse Practitioner 363LA2200X 111393 WV

Addresses

Primary practice location

1818 Amherst St Ste 201
Winchester, VA 22601-2894

Mailing address

220 Campus Blvd Ste 210
Winchester, VA 22601-2889
Phone (540) 536-5100

Other practice location 1

190 Campus Blvd Ste 410
Winchester, VA 22601-2872
Phone (540) 450-2339

Other practice location 2

174 Botanical Blvd
Winchester, VA 22603-3977
Phone (540) 536-5900

Other practice location 3

1870 Amherst St Ste 2D
Winchester, VA 22601-2841
Phone (540) 450-2339

Other practice location 4

1008 Tavern Rd Ste 301
Martinsburg, WV 25401-2801
Phone (681) 247-1070

Other names 1

  • Stephanie E Shank Former name

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address sshank744659@soc.inova.org
Direct Messaging Address sshank744659@soc.inova.org
Direct Messaging Address sshank744659@soc.inova.org
Direct Messaging Address sshank744659@soc.inova.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, VA, WV3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20180201000169 MD Practitioner - Nurse Practitioner 4688934185 Reassigns benefits to 1 organization
I20201216001102 VA Practitioner - Nurse Practitioner 4688934185 Reassigns benefits to 2 organizations
I20220321002261 WV Practitioner - Nurse Practitioner 4688934185 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

13 Western Maryland Pkwy
106 Wvu Medicine Brain and Spine
Hagerstown, MD 21740-6474
Phone (240) 513-4591

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
East Mountain Health Physicians, Inc. CurrentSince May 9, 2022 Accepting new patients
Valley Physician Enterprise, Inc Current Accepting new patients
Valley Physician Enterprise, Inc. CurrentSince Jan 4, 2021 Accepting new patients
Winchester Medical Center CurrentSince Jan 26, 2021 Accepting new patients
Winchester Medical Center Current Accepting new patients
West Virginia University Medical Corporation CurrentSince May 13, 2024 Accepting new patients
East Mountain Health Physicians, Inc. CurrentSince May 9, 2022 Accepting new patients
Winchester Medical Center CurrentSince Jan 26, 2021 Accepting new patients
East Mountain Health Physicians Inc. Current Accepting new patients
Valley Physician Enterprise, Inc. CurrentSince Jan 4, 2021 Accepting new patients
West Virginia University Medical Corporation CurrentSince May 13, 2024 Accepting new patients
East Mountain Health Physicians, Inc. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

13 Western Maryland Pkwy
Ste 106
Hagerstown, MD 21740
Phone (240) 513-4591

1000 N Shenandoah Ave
Front Royal, VA 22630
Phone (540) 636-0300

220 Campus Blvd
Ste 100
Winchester, VA 22601

190 Campus Blvd
Ste 410
Winchester, VA 22601
Phone (540) 450-2339

174 Botanical Blvd
Winchester, VA 22603
Phone (540) 536-5900

220 Campus Blvd
Ste 210
Winchester, VA 22601

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

1870 Amherst St
Ste 2D
Winchester, VA 22601
Phone (540) 450-2339

1818 Amherst St
Ste 201
Winchester, VA 22601
Phone (540) 450-2339

1008 Tavern Rd
Ste 301
Martinsburg, WV 25401
Phone (304) 596-2378

100 Oak Lee Dr
Ranson, WV 25438
Phone (304) 350-0001

Interoperability endpoints

  • Direct secure messaging: sshank744659@soc.inova.org

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1512432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1013422682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 CAMPUS BLVD STE 210",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012889",
            "telephone_number": "540-536-5100",
            "fax_number": "540-536-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 AMHERST ST STE 201",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012894",
            "telephone_number": "540-450-2339",
            "fax_number": "540-450-2333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "190 Campus Blvd Ste 410",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226012872",
            "country_code": "US",
            "telephone_number": "540-450-2339",
            "fax_number": "540-450-2333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "174 Botanical Blvd",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226033977",
            "country_code": "US",
            "telephone_number": "540-536-5900",
            "fax_number": "540-536-5915",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1870 Amherst St Ste 2D",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226012841",
            "country_code": "US",
            "telephone_number": "540-450-2339",
            "fax_number": "540-450-2333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1008 Tavern Rd Ste 301",
            "address_purpose": "LOCATION",
            "city": "Martinsburg",
            "state": "WV",
            "postal_code": "254012801",
            "country_code": "US",
            "telephone_number": "681-247-1070",
            "fax_number": "681-247-1071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUNO",
        "first_name": "STEPHANIE",
        "middle_name": "ELLEN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-05",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024180253",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WV",
            "license": "111393",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sshank744659@soc.inova.org",
            "affiliation": "N",
            "address_1": "1008 Tavern Rd Ste 301",
            "city": "Martinsburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254012801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sshank744659@soc.inova.org",
            "affiliation": "N",
            "address_1": "1818 Amherst St Ste 201",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226012894",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sshank744659@soc.inova.org",
            "affiliation": "N",
            "address_1": "190 Campus Blvd Ste 410",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226012872",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sshank744659@soc.inova.org",
            "affiliation": "N",
            "address_1": "174 Botanical Blvd",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226033977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "SHANK",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.