Bruncuso Holdings Chapter Two LLC
NPI 1740050822ActiveOrganization· Nurse Practitioner, Family· Cave Creek, AZ
Nurse Practitioner, Family in Cave Creek, Arizona, registered in NPPES in January 2024, part of Bruncuso Holdings Chapter Two LLC. The authorized official on file is Traci Mancuso, Owner/Operator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1740050822 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Bruncuso Holdings Chapter Two LLC |
| NPI issued | Jan 8, 2024 |
| Last updated in NPPES | Jan 8, 2024 |
| Certified by provider | Jan 8, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NV) |
|---|
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