Penny S Bruso, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

101.0105935 Issued in VT

Practice address

677 Rte 7a
Shaftsbury, VT 05262

Phone

(802) 442-8531

NPI assigned

Aug 4, 2014

Last updated

Aug 4, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VT, NY2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Group practices

Southwestern Vermont Medical Center, IncGroup PAC ID 0143138446, 174 clinicians

Memory Clinic IncGroup PAC ID 6709209109, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southwestern Vermont Medical Center Hospital, Bennington, VT, CCN 470012
• Ellis Hospital Hospital, Schenectady, NY, CCN 330153
• Cobleskill Regional Hospital Hospital, Cobleskill, NY, CCN 331320

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pbruso@northeasteye.medentdirect.com

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.

• Memory Clinic, Inc.

  • Behavioral Neurology & Neuropsychiatry Physician
  • Bennington, VT
  • NPI 1205359213
  Medicare reassignment Care Compare group NPD
• Southwestern Vermont Medical Center Inc.

  • Internal Medicine Physician
  • Bennington, VT
  • NPI 1184994162
  Medicare reassignment Care Compare group
• Natalie Lopasic, M.D., PLLC

  dba DBA: Northeast Eye Center

  • Multi-Specialty Clinic/Center
  • Latham, NY
  • NPI 1902017882
  Medicare reassignment NPD
• Clinical Neuroscience Research Associates, Inc.

  dba The Memory Clinic

  • Neurology Physician
  • Bennington, VT
  • NPI 1700916137
  NPD
• Southwestern Vermont Medical Center Inc.

  • General Acute Care Hospital
  • Bennington, VT
  • NPI 1205865789
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Southwestern Vermont Medical Center Inc.

  • General Acute Care Hospital
  • Bennington, VT
  • NPI 1205865789
  Care Compare affiliation
• Bassett Hospital of Schoharie County

  • Critical Access Hospital
  • Cobleskill, NY
  • NPI 1689741985
  Care Compare affiliation
• Bassett Hospital of Schoharie County

  • Critical Access Hospital
  • Cobleskill, NY
  • NPI 1891862579
  Care Compare affiliation
• Ellis Hospital

  • General Acute Care Hospital
  • Schenectady, NY
  • NPI 1487644993
  Care Compare affiliation

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

{
    "created_epoch": "1407110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407110400000",
    "number": "1518376607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 379",
            "address_2": "677 RTE 7A",
            "city": "SHAFTSBURY",
            "state": "VT",
            "postal_code": "05262",
            "telephone_number": "802-442-8531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 RTE 7A",
            "city": "SHAFTSBURY",
            "state": "VT",
            "postal_code": "05262",
            "telephone_number": "802-442-8531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUSO",
        "first_name": "PENNY",
        "middle_name": "S",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-04",
        "last_updated": "2014-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VT",
            "license": "101.0105935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henry Botzum, AUD
• Thomas Raymond Buck, RPA-C
• Elizabeth G Carmack, DMD
• Tyler Carmack, D.M.D.
• Jeremy Mac Clover, DMD
• Carol Ibach Duffy, D.O.

• Family Nurse Practitioner in Shaftsbury, VT
• Providers in Shaftsbury, VT by specialty
• Family Nurse Practitioner in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2014; 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.

Verify at the official NPI Registry.