NPIMap

Individual provider Active NPI

Sandra S Halbruner, CRNP

  • Family Nurse Practitioner
  • Harrisburg, PA
National Provider Identifier
1962469320
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
TP005787B Issued in PA
Practice address
4300 Londonderry Rd
Harrisburg, PA 17109-5317
Phone
(717) 231-8772
Fax
(717) 231-8435
NPI assigned
Apr 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN512581L PA
Family Nurse Practitioner 363LF0000X TP005787B PA Primary

Addresses

Primary practice location

4300 Londonderry Rd
Harrisburg, PA 17109-5317

Mailing address

409 S 2ND St
Suite 2F
Harrisburg, PA 17104-1612

Other practice location 1

1025 W Harrisburg Pike
Middletown, PA 17057-4848
Phone (717) 944-0491

Other identifiers 2

IdentifierTypeStateIssuer
102974524MedicaidPA
001371383OtherPABLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040610000702 PA Practitioner - Nurse Practitioner 6406839455 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians
PSHR Physical Therapy, LLCGroup PAC ID 8628396546, 36 clinicians

Practice addresses (Care Compare)

1251 E Main St
Pinnaclehealth Annville Family Medicine
Annville, PA 17003-1643
Phone (717) 867-4671

308 Hockersville Rd
Hershey, PA 17033-2080
Phone (717) 298-1411

Hospital & facility affiliations

  • Upmc Pinnacle Hospitals Hospital, Harrisburg, PA, CCN 390067
  • Milton S Hershey Medical Center Hospital, Hershey, PA, CCN 390256

Merit-based Incentive Payment System (MIPS)

Final score
86.08 of 100Reported as group
Quality
76.48
Promoting interoperability
100
Improvement activities
40
Cost
77.12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN512581LPAMDRegistered Nurse
TP005787BPAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Hospitalist Services LLC CurrentSince Jan 13, 2014 Accepting new patients
Pinnacle Health Medical Services CurrentSince Jul 15, 1999 Accepting new patients
Pinnacle Health Medical Services CurrentSince Jul 15, 1999 Accepting new patients
Pinnacle Health Medical Services Current Accepting new patients
Pinnacle Health Medical Services Past Accepting new patients
Upmc Pinnacle Hospitals Past Accepting new patients
Asbury Atlantic, Inc PastSince Mar 1, 2017 Accepting new patients

Locations

1251 E Main St
Annville, PA 17003
Phone (717) 867-4671

111 S Front St
Harrisburg, PA 17101
Phone (717) 782-3282

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

2645 N 3rd St
Ste 250
Harrisburg, PA 17110
Phone (717) 782-4130

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

4300 Londonderry Rd
Lower Paxton, PA 17109
Phone (717) 597-7044

1025 W Harrisburg Pike
Middletown, PA 17057
Phone (717) 702-1135

Interoperability endpoints

  • Direct secure messaging: shalbruner289604@upmc.direct-ci.com

Organizations & group practices 8

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.

Hospital & facility affiliations 8

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": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1962469320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 S 2ND ST",
            "address_2": "SUITE 2F",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171041612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 LONDONDERRY RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171095317",
            "telephone_number": "717-231-8772",
            "fax_number": "717-231-8435"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1025 W Harrisburg Pike",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "PA",
            "postal_code": "170574848",
            "country_code": "US",
            "telephone_number": "717-944-0491",
            "fax_number": "717-944-1436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALBRUNER",
        "first_name": "SANDRA",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-28",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN512581L",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "TP005787B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102974524",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "001371383",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.