Active NPI
Sarah Aeavenly Bruno, FNP-C
- Family Nurse Practitioner
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71011848A
- Practice address
- 6620 Parkdale PL
Indianapolis, IN 46254-5620 - Phone
- (317) 415-7373
- NPI assigned
- Nov 9, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 71011848A | IN | |
| Family Nurse Practitioner | 363LF0000X | 71011848A | IN | Primary |
Addresses
Primary practice location
6620 Parkdale PL
Indianapolis, IN 46254-5620
Mailing address
6620 Parkdale PL
Indianapolis, IN 46254-5620
Other practice location 1
8240 Naab Rd Ste 360
Indianapolis, IN 46260-1987
Phone (317) 961-6396
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | 23999 | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
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
Practice addresses (Care Compare)
590 Pit Rd
Brownsburg, IN 46112-7830
Phone (317) 456-1100
6620 Parkdale PL
Indianapolis, IN 46254-5620
Phone (317) 415-7373
8433 Harcourt Rd
Suite 100
Indianapolis, IN 46260-2193
Phone (317) 583-7600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71011848A | IN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Vincent Medical Group, Inc. | Current | Accepting new patients | |
| St. Vincent Medical Group, Inc. | Family | Current | Accepting new patients |
| St Vincent Medical Group Inc | Past | Accepting new patients |
Locations
590 Pit Rd
Brownsburg, IN 46112
Phone (317) 415-6040
6620 Parkdale Pl
Indianapolis, IN 46254
Phone (317) 415-7373
250 W 96th St
#520
Indianapolis, IN 46260
Phone (317) 583-3331
1001 Broad Ripple Ave
Indianapolis, IN 46220
Phone (317) 259-7777
8402 Harcourt Rd
Ste 128
Indianapolis, IN 46260
Phone (317) 338-9355
8433 Harcourt Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 583-7702
8091 Township Line Rd
Ste 105
Indianapolis, IN 46260
Phone (317) 415-8050
Interoperability endpoints
- sarah.bruno.1@7598.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Carmel, IN
- NPI 1811881527
-
- Cardiovascular Disease Physician
- Indianapolis, IN
- NPI 1558686436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656374400000",
"number": "1235895889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6620 PARKDALE PL",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462545620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6620 PARKDALE PL",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462545620",
"telephone_number": "317-415-7373"
}
],
"practiceLocations": [
{
"address_1": "8240 Naab Rd Ste 360",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462601987",
"country_code": "US",
"telephone_number": "317-961-6396",
"fax_number": "833-907-2332",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRUNO",
"first_name": "SARAH",
"middle_name": "AEAVENLY",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-09",
"last_updated": "2022-06-28",
"certification_date": "2022-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71011848A",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71011848A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "23999",
"affiliation": "N",
"endpointDescription": "Athena EMR",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "8240 Naab Rd Ste 360",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462601987",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.