Individual provider Active NPI

Cristina L Bruni, PA

  • Physician Assistant
  • Peabody, MA
National Provider Identifier
1962742379
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA5782 Issued in MA
Practice address
2 Corporation Way
Peabody, MA 01960-7932
Phone
(978) 532-6111
NPI assigned
Feb 21, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 016389 NY
Physician Assistant 363A00000X 6012 CT
Physician Assistant 363A00000X PA5782 MA Primary

Addresses

Primary practice location

2 Corporation Way
Peabody, MA 01960-7932

Mailing address

2 Corporation Way
Peabody, MA 01960-7932

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CT2 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

Enrollment IDStateProvider typePAC IDDetails
I20160927001794 MA Practitioner - Physician Assistant 6709026057 Reassigns benefits to 8 organizations
I20230223001721 CT Practitioner - Physician Assistant 6709026057 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1 Hutchinson Dr
Danvers, MA 01923-3748
Phone (978) 739-6950

Hospital & facility affiliations

  • Cooley Dickinson Hospital Inc,the Hospital, Northampton, MA, CCN 220015
  • North Shore Medical Center - Hospital, Salem, MA, CCN 220035
  • Newton-Wellesley Hospital Hospital, Newton, MA, CCN 220101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA5782MAMDPhysician Assistant
6012CTMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Mass General Brigham Urgent Care LLC CurrentSince Mar 10, 2018 Accepting new patients
Massachusetts General Physicians Organization Inc CurrentSince May 12, 2024 Accepting new patients
Medical Affiliates of Cape Cod, Inc. CurrentSince Aug 1, 2016 Accepting new patients
Mass General Brigham Urgent Care LLC CurrentSince Mar 10, 2018 Accepting new patients
North Shore Medical Center, Inc. Current Accepting new patients

Locations

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

55 Fruit St
Boston, MA 02114

75 Francis St
Boston, MA 02115

1285 Beacon St
Brookline, MA 02446
Phone (617) 751-6205

100 Ter Heun Dr
Falmouth, MA 02540
Phone (508) 457-3501

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

Interoperability endpoints

  • Direct secure messaging: bruni.cristina.nsmc@direct.partners.masshiway.net
  • Direct secure messaging: cristina.bruni@xdr.hhchealthdirect.org

Organizations & group practices 11

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 4

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": "1361404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1962742379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CORPORATION WAY",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019607932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CORPORATION WAY",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019607932",
            "telephone_number": "978-532-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNI",
        "first_name": "CRISTINA",
        "middle_name": "L",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-21",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "016389",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "6012",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA5782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peabody, MA

Sources for this page

Verify at the official NPI Registry.