Eastern Shore Primary Care Practice LLC

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

EASTERN SHORE PRIMARY CARE PRACTICE LLC

Practice address

7416 Church Hill Rd Ste 2
Chestertown, MD 21620-2808

Phone

(410) 498-4848

NPI assigned

Jul 21, 2023

Organization subpart

No

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

Authorized official

Name

Lauren M Bruneio, CRNPNPI 1689112054

Title

Owner

Phone

(570) 872-4533

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lauren Margaret Bruneio, CRNP

  • Family Nurse Practitioner
  • Quakertown, PA
  • NPI 1689112054

  MD

  Medicare reassignment Care Compare group NPD Authorized official
• Tasha Johnson, MSN, CRNP FNP-BC

  • Family Nurse Practitioner
  • Chestertown, MD
  • NPI 1043034697
  Medicare reassignment Care Compare group NPD
• Allison Pepe

  • Nurse Practitioner
  • Chestertown, MD
  • NPI 1700751351
  Medicare reassignment Care Compare group NPD
• Marisa Ratliff, FNP

  • Nurse Practitioner
  • Chestertown, MD
  • NPI 1881378362
  Medicare reassignment Care Compare group NPD
• Karen Monroe, FNP-C, PMHNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Centreville, MD
  • NPI 1275262545
  Medicare reassignment NPD
• Katherine Griffin, NP

  • Family Nurse Practitioner
  • Cambridge, MD
  • NPI 1750068318
  NPD (past)

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

{
    "created_epoch": "1689897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706054400000",
    "number": "1245910579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7416 CHURCH HILL RD STE 2",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216202808",
            "telephone_number": "410-498-4848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7416 CHURCH HILL RD STE 2",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216202808",
            "telephone_number": "410-498-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN SHORE PRIMARY CARE PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-21",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A",
        "authorized_official_last_name": "BRUNEIO",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-872-4533",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Dunlap, CRNP
• Easter Seals Delaware & Maryland'S Eastern Shore
• Eastern Shore Family Foot Care, LLC
• Eastern Shore Family Foot Care, LLC
• Eastern Shore Family Foot Care, LLC
• Eastern Shore Psychological Services, LLC
• Eastern Shore Psychological Services, LLC
• Eastern Shore Psychological Services, LLC
• Eastern Shore Urgent Care LLC
• Areeg Elmusrati, DDS

• Adult Medicine Physician in Chestertown, MD
• Providers in Chestertown, MD by specialty
• Adult Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.