Individual provider Active NPI

Alaina Kathryn Stush, CRNP

  • Family Nurse Practitioner
  • Wilmington, DE
National Provider Identifier
1104597483
Registry record updated Sep 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP023516 Issued in PA
Practice address
1815 W 13TH St Ste 1
Wilmington, DE 19806-4054
Phone
(302) 652-4705
NPI assigned
Sep 25, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2021

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 SP023516 PA Primary

Addresses

Primary practice location

1815 W 13TH St Ste 1
Wilmington, DE 19806-4054

Mailing address

1018 Vermont Ave Apt 1
Pittsburgh, PA 15234-1145

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20211118000062 DE Practitioner - Nurse Practitioner 7810386562 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brandywine Medical Associates, Inc.Group PAC ID 3678560505, 3 clinicians

Practice addresses (Care Compare)

1815 W 13TH St
Suite 1
Wilmington, DE 19806-4054
Phone (302) 652-4705

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.95 of 100Reported as apm
Quality
81.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP023516PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brandywine Medical Associates, Inc. CurrentSince Oct 29, 2021 Accepting new patients

Locations

2601 Annand Dr
Ste 23
Wilmington, DE 19808
Phone (302) 994-4406

1815 W 13th St
Ste 1
Wilmington, DE 19806
Phone (302) 652-4705

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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": "1632528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632528000000",
    "number": "1104597483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1018 VERMONT AVE APT 1",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152341145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 W 13TH ST STE 1",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198064054",
            "telephone_number": "302-652-4705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUSH",
        "first_name": "ALAINA",
        "middle_name": "KATHRYN",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-25",
        "last_updated": "2021-09-25",
        "certification_date": "2021-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP023516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.