MRS. TARA DIBRUNO (MSN, CRNP) – Family Nurse Practitioner, NPI 1457369191
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,473 NURSE PRACTITIONER in PA
Provider Addresses for MRS. TARA DIBRUNO (MSN, CRNP)
700 Walnut St
Philadelphia, PA 191063505
Phone: (215) 503-7300
Fax: (215) 503-5666
Type: Location
565 Egg Harbor Rd
Sewell, NJ 080802335
Phone: (844) 542-2273
Type: Location
1 FEDERAL ST STE 200
CAMDEN, NJ 081031088
Phone: (848) 288-6935
Fax: (732) 790-0107
Type: Mailing
3 COOPER PLZ RM 104
CAMDEN, NJ 081031407
Phone: (856) 968-8695
Type: Location
Poke Sewell, 300, Egg Harbor Road, Creesville, Hurffville, Washington Township, Gloucester County, New Jersey, 08080, United States
SEWELL, NJ 080802335
Phone: (844) 542-2273
Type: Location
30, Nicholas Drive, Washington Township, Gloucester County, New Jersey, 08081, United States
SICKLERVILLE, NJ 080819430
Phone: (215) 806-9262
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-10-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060301000218 | I | Nurse Practitioner | PA | TBD |
| I20191030000077 | I | Nurse Practitioner | NJ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 19106)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NJ | |
| Internal Medicine | NJ | |
| Internal Medicine, Pediatric Medicine | MA | |
| Internal Medicine | PA | |
| Family Practice | NJ | |
| Internal Medicine | NJ | |
| Physician Assistant | NJ | |
| Internal Medicine | PA | |
| Nurse Practitioner | NJ | |
| Nurse Practitioner | NJ |
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