EASTERN SHORE URGENT CARE LLC
NPI 1548924988
Clinic/Center - Urgent Care in Chestertown, MD

Active since October 22, 2021CLIA 21D2255320 · Waiver
7416 CHURCH HILL RD, CHESTERTOWN, MD 21620(570) 872-4533 Get Directions Write a Review

NPPES record last updated: January 31, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 31, 2022, Oct 22, 2021 (2 updates tracked since 2021).

About Eastern Shore Urgent Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EASTERN SHORE URGENT CARE LLC (NPI 1548924988) is a healthcare organization registered as an urgent care in Chestertown, Maryland and active in the NPI registry since October 2021. The organization holds a CLIA Waiver certificate valid through March 13, 2028 and lists Lauren Bruneio, Owner, as its authorized official.

NPPES Registry Identity

NPI1548924988
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameEASTERN SHORE URGENT CARE LLC
Location Address7416 CHURCH HILL RDChestertown, MD 21620-2808
Mailing Address7416 Church Hill RdChestertown, MD 21620-2808 · (570) 872-4533
Organization SubpartNo
Authorized OfficialLauren BruneioOwner · (570) 872-4533
Enumeration DateOctober 22, 2021
Last NPPES UpdateJanuary 31, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 31, 2022
✔ NPI 1548924988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
7416 CHURCH HILL RD, Chestertown, MD 21620

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eastern Shore Urgent Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMarylandEnrollment IDO20240227001666DME · Nurse PractitionerDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Eastern Shore Urgent Care LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Nurse Practitioner9
General Surgery1

Clinicians, nearest first (10)

Nurse Practitioner
NPI 1043034697
7416 CHURCH HILL RD
Chestertown, MD 21620
(410) 498-4848
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1881378362
7416 CHURCH HILL RD
Chestertown, MD 21620
(410) 787-4000
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1609879873
100 BROWN ST
Chestertown, MD 21620
(410) 778-6303
✔ PECOS✔ Accepts Medicare0.9 mi
Nurse Practitioner
NPI 1275262545
120 BANJO LN
Centreville, MD 21617
(410) 758-2211
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1700751351
2600 GLASGOW AVE STE 124
Newark, DE 19702
(302) 836-4200
✔ PECOS✔ Accepts Medicare32 mi
Nurse Practitioner
NPI 1184771966
6085 MARSHALEE DR
Elkridge, MD 21075
(410) 379-3400
✔ PECOS✔ Accepts Medicare39 mi
Nurse Practitioner
NPI 1750068318
1101 MACES LN
Cambridge, MD 21613
(410) 228-3223
✔ PECOS✔ Accepts Medicare45 mi
Nurse Practitioner
NPI 1992324479
8403 COLESVILLE RD STE 1100
Silver Spring, MD 20910
(443) 383-9300
✔ PECOS✔ Accepts Medicare54 mi
Nurse Practitioner
NPI 1689112054
1534 PARK AVE SUITE 310
Quakertown, PA 18951
(484) 526-7246
✔ PECOS✔ Accepts Medicare93 mi
Nurse Practitioner
NPI 1295803633
1 ROBERT WOOD JOHNSON PL SPECIAL PROCEDURES
New Brunswick, NJ 08901
(732) 828-3000
✔ PECOS✔ Accepts Medicare123 mi

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 21D2255320

Eastern Shore Urgent Care LLC · Chestertown, MD
Active · expires Mar 13, 2028
CLIA Number21D2255320
Laboratory TypeUrgent Care
Certificate Effective DateMarch 14, 2026
Certificate Expiration DateMarch 13, 2028
Laboratory DirectorLauren Bruneio
Laboratory Phone(410) 498-4848
Laboratory LocationEastern Shore Urgent Care LLC7416 Church Hill Road, Chestertown, MD 21620
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS

Medicare supplier enrollment and the product categories Eastern Shore Urgent Care carries, from the Medicare DMEPOS supplier directory.

Eastern Shore Urgent Care

DMEPOS supplier · Chestertown, MDOperated by Eastern Shore Urgent Care LLC
✔

Accepts Medicare assignment

Eastern Shore Urgent Care agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)34357292
Medicare Participant SinceJune 1, 2022
Supplier Location7416 Church Hill RdChestertown, MD 21620
Provider TypeNurse Practitioner

Medicare Product Categories

Orthoses: Off-The-Shelf
Met pads, Heel pads, Heel spur pads
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Frequently 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 Urgent Care LLC's NPI number?

The NPI number for Eastern Shore Urgent Care LLC is 1548924988. It was assigned to this organization in the NPPES registry on October 22, 2021.

Where is Eastern Shore Urgent Care LLC located?

Eastern Shore Urgent Care LLC is located at 7416 Church Hill Rd, Chestertown, MD 21620. The listed phone number is (570) 872-4533.

What is Eastern Shore Urgent Care LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Is Eastern Shore Urgent Care LLC enrolled in Medicare?

Yes. Eastern Shore Urgent Care LLC is registered in the Medicare PECOS enrollment system.

When is Eastern Shore Urgent Care LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Maryland, Nurse Practitioner) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Eastern Shore Urgent Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 2 Medicare specialties reassign their Medicare billing to Eastern Shore Urgent Care 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. The largest specialties are Nurse Practitioner (9) and General Surgery (1). Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Eastern Shore Urgent Care LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Eastern Shore Urgent Care accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Eastern Shore Urgent Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2255320) is associated with this NPI, valid through March 13, 2028. 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 Urgent Care LLC was last updated on January 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.