Individual provider Active NPI

Brandy Jo Stufft, APRN, CNP

  • Family Nurse Practitioner
  • East Canton, OH
National Provider Identifier
1104304583
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.023050 Issued in OH
Practice address
4100 Georgetown St NE
East Canton, OH 44730-1604
Phone
(330) 473-0226
Fax
(330) 947-5624
NPI assigned
Jul 30, 2018
Last updated
Jul 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.023050 OH Primary

Addresses

Primary practice location

4100 Georgetown St NE
East Canton, OH 44730-1604

Mailing address

4100 Georgetown St NE
East Canton, OH 44730-1604
Phone (330) 473-0226

Other names 1

  • Brandy Jo Eberly Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20180823001702 OH Practitioner - Nurse Practitioner 5294084216 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.023050OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orrville Hospital Foundation CurrentSince Nov 1, 2023 Accepting new patients
Orrville Hospital Foundation CurrentSince Nov 1, 2023 Accepting new patients
Stufft Precision Health, LLC Past Accepting new patients
Orrville Hospital Foundation Past Accepting new patients
Alliance Family Practice PastSince Oct 1, 2018 Accepting new patients
Orrville Hospital Foundation Past Accepting new patients

Locations

270 E State St
Ste 240
Alliance, OH 44601
Phone (330) 596-6560

2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180

832 S Main St
Orrville, OH 44667
Phone (330) 456-2695

Interoperability endpoints

  • Direct secure messaging: brandy.stufft@direct.aultman.org
  • FHIR API: https://api.platform.athenahealth.com/12165/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1532908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1104304583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 GEORGETOWN ST NE",
            "city": "EAST CANTON",
            "state": "OH",
            "postal_code": "447301604",
            "telephone_number": "330-473-0226",
            "fax_number": "330-947-5624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 GEORGETOWN ST NE",
            "city": "EAST CANTON",
            "state": "OH",
            "postal_code": "447301604",
            "telephone_number": "330-473-0226",
            "fax_number": "330-947-5624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUFFT",
        "first_name": "BRANDY",
        "middle_name": "JO",
        "credential": "APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-30",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.023050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRANDY",
            "last_name": "EBERLY",
            "middle_name": "JO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in East Canton, OH

Sources for this page

Verify at the official NPI Registry.