EASTERN SHORE PRIMARY CARE PRACTICE LLC
NPI 1245910579
Family Medicine - Adult Medicine in Chestertown, MD
About Eastern Shore Primary Care Practice Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EASTERN SHORE PRIMARY CARE PRACTICE LLC (NPI 1245910579) is a healthcare organization registered as an adult medicine in Chestertown, Maryland and active in the NPI registry since July 2023. The organization holds a CLIA Waiver certificate valid through September 11, 2027 and lists Lauren M Bruneio, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Eastern Shore Primary Care Practice Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Eastern Shore Primary Care Practice LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 21D2289485
Eastern Shore Primary Care Practice LLC · Chestertown, MDFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Eastern Shore Primary Care Practice LLC's NPI number?
The NPI number for Eastern Shore Primary Care Practice LLC is 1245910579. It was assigned to this organization in the NPPES registry on July 21, 2023.
Where is Eastern Shore Primary Care Practice LLC located?
Eastern Shore Primary Care Practice LLC is located at 7416 Church Hill Rd Ste 2, Chestertown, MD 21620. The listed phone number is (410) 498-4848.
What is Eastern Shore Primary Care Practice LLC's specialty?
The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.
Is Eastern Shore Primary Care Practice LLC enrolled in Medicare?
Yes. Eastern Shore Primary Care Practice LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Eastern Shore Primary Care Practice LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Eastern Shore Primary Care Practice LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Eastern Shore Primary Care Practice LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 21D2289485) is associated with this NPI, valid through September 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Eastern Shore Primary Care Practice LLC was last updated on January 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Eastern Shore Primary Care Practice Llc · NPI 1245910579
Adult Medicine organization in Chestertown, Maryland. Organization record, active in the CMS NPPES registry since July 21, 2023.
## Identity
- **NPI:** 1245910579 (Entity type: Organization)
- **Enumerated:** July 21, 2023
- **Primary specialty:** Family Medicine - Adult Medicine · taxonomy 207QA0505X
- **Organization subpart:** No
- **Authorized official:** Lauren Bruneio, OWNER
## Practice location
- **Address:** 7416 CHURCH HILL RD STE 2, Chestertown, MD 21620-2808
- **Phone:** (410) 498-4848
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 24, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1245910579) · Data from the CMS NPPES public registry.