Stacey Jean Brausch, AGNP-BC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

5017192 Issued in NC

Practice address

705 WH Smith Blvd
Greenville, NC 27834-3752

Phone

(252) 329-8482

Fax

(252) 558-0788

NPI assigned

Nov 7, 2022

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: stacey.brausch@67637088944132.direct.elationemr.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.

• Pitt Internal Medicine PLLC

  • Internal Medicine Physician
  • Greenville, NC
  • NPI 1740465343
  NPD
• Viva Med PLLC

  • Internal Medicine Physician
  • Greenville, NC
  • NPI 1245793991
  NPD

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1972211175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 4TH ST",
            "city": "MACCLESFIELD",
            "state": "NC",
            "postal_code": "27852",
            "telephone_number": "919-330-8127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 WH SMITH BLVD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278343752",
            "telephone_number": "252-329-8482",
            "fax_number": "252-558-0788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAUSCH",
        "first_name": "STACEY",
        "middle_name": "JEAN",
        "credential": "AGNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-07",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NC",
            "license": "5017192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Nicholas Brant
• Jerry Lendo Brantley Jr., CRNA
• Mary Lisa Brantley, FNP
• Aleascia Camille Braswell
• Kyandra Braswell, PT, DPT
• Brittany L Braxton, NP
• Emily L Bray, M.D.
• Breakthrough Revival Pentecostal Holiness Church
• Peter Reynolds Bream Jr., MD
• Breath of Life Mental Health and Wellness

• Primary Care Nurse Practitioner in Greenville, NC
• Providers in Greenville, NC by specialty
• Primary Care Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.