NPIMap

Organization Active NPI

Bruncuso Holdings LLC

Doing business as GreenWell Health

  • Family Nurse Practitioner
  • Cave Creek, AZ
National Provider Identifier
1497442586
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
BRUNCUSO HOLDINGS LLC
Doing business as
GreenWell Health
Practice address
4705 E Carefree Hwy Ste 131
Cave Creek, AZ 85331-4745
Phone
(480) 847-2273
Fax
(480) 847-2271
NPI assigned
Apr 19, 2023
Last updated
Jun 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Authorized official

Name
Michael StoneNPI 1629305479
Title
Indirect Owner
Phone
(310) 955-0037

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

4705 E Carefree Hwy Ste 131
Cave Creek, AZ 85331-4745

Mailing address

4705 E Carefree Hwy Ste 131
Cave Creek, AZ 85331-4745
Phone (480) 847-2273

Other practice location 1

123 W Nye Ln Ste 129
Carson City, NV 89706-0838
Phone (480) 847-2273

Other practice location 2

1209 Mountain Road Pl NE Ste 4293
Albuquerque, NM 87110-7825
Phone (480) 847-2273

Other names 1

  • GreenWell Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NV, OR3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20230629000414 AZ Part B Supplier - Clinic/Group Practice 4789043449 Receives reassigned benefits from 10 practitioners
Practice locations: Cave Creek, AZ
O20230725000067 NV Part B Supplier - Clinic/Group Practice 4789043449 Receives reassigned benefits from 23 practitioners
Practice locations: Carson City, NV
O20230915003366 OR Part B Supplier - Clinic/Group Practice 4789043449 Receives reassigned benefits from 1 practitioner
Practice locations: Bend, OR

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

4705 E Carefree Hwy
Ste 103
Cave Creek, AZ 85331
Phone (480) 847-2273

1209 Mountain Road Pl NE
Ste 4293
Albuquerque, NM 87110
Phone (480) 847-2273

123 W Nye Ln
Carson City, NV 89706

123 W Nye Ln
Ste 129
Carson City, NV 89706
Phone (480) 847-2273

Practitioners & affiliated clinicians

Practitioners 30

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1681862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780876800000",
    "number": "1497442586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4705 E CAREFREE HWY STE 131",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853314745",
            "telephone_number": "480-847-2273",
            "fax_number": "480-847-2271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4705 E CAREFREE HWY STE 131",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853314745",
            "telephone_number": "480-847-2273",
            "fax_number": "480-847-2271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 W Nye Ln Ste 129",
            "address_purpose": "LOCATION",
            "city": "Carson City",
            "state": "NV",
            "postal_code": "897060838",
            "country_code": "US",
            "telephone_number": "480-847-2273",
            "fax_number": "480-847-2271",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1209 Mountain Road Pl NE Ste 4293",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871107825",
            "country_code": "US",
            "telephone_number": "480-847-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRUNCUSO HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-19",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "INDIRECT OWNER",
        "authorized_official_telephone_number": "310-955-0037"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GreenWell Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GreenWell Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cave Creek, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.