Individual provider Active NPI

Sheena Lou-Lu Bruenn, NURSE PRACTITIONER

  • Family Health Clinical Nurse Specialist
  • Brewster, NY
National Provider Identifier
1760913768
Registry record updated Aug 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X
License
341479 Issued in NY
Practice address
155 Main St
Brewster, NY 10509-1521
Phone
(845) 279-6999
NPI assigned
Mar 22, 2017
Last updated
Aug 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Health Clinical Nurse Specialist 364SF0001X 341479 NY Primary

Addresses

Primary practice location

155 Main St
Brewster, NY 10509-1521

Mailing address

66 Morningside Dr
Patterson, NY 12563-2308
Phone (845) 721-0822

Other names 1

  • Sheena Lou-Lu Demartino Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20170424001111 NY Practitioner - Nurse Practitioner 6305122524 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Divinity Medical Services PLLCGroup PAC ID 5193030245, 92 clinicians

Practice addresses (Care Compare)

5 N Airmont Rd
Airmont, NY 10901-5152
Phone (845) 547-0300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
341479NYMDFamily Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Divinity Medical Services PLLC CurrentSince May 1, 2025 Accepting new patients
C Doc Medical Group PLLC CurrentSince Mar 8, 2022 Accepting new patients

Locations

5 N Airmont Rd
Airmont, NY 10901
Phone (845) 547-0300

55 Greene Ave
Ste 2B
Brooklyn, NY 11238
Phone (718) 517-2900

3379 Crompond Rd
Yorktown Hts, NY 10598
Phone (914) 245-1111

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1490140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596412800000",
    "number": "1760913768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 MORNINGSIDE DR",
            "city": "PATTERSON",
            "state": "NY",
            "postal_code": "125632308",
            "telephone_number": "845-721-0822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 MAIN ST",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105091521",
            "telephone_number": "845-279-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUENN",
        "first_name": "SHEENA",
        "middle_name": "LOU-LU",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-22",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "NY",
            "license": "341479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHEENA",
            "last_name": "DEMARTINO",
            "middle_name": "LOU-LU",
            "credential": "FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brewster, NY

Sources for this page

Verify at the official NPI Registry.