Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Stacy Allyn Brubaker, APRN-CNP

Individual provider Gerontology Nurse Practitioner · NPI 1134640725

Stacy Allyn Brubaker, APRN-CNP is a Nurse Practitioner in Pickerington, Ohio. Qualified in 2016, 10 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
10
Licensed in
OH
In the registry since
2017
Specialties on file
2

Practice location Address checks out

1025 Refugee Rd Fl 2
Pickerington, OH 43147-9861
Phone: (614) 293-8617
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4229 Pearl Rd, Cleveland, OH 44109-4218 — (216) 205-4000

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN.CNP.19071 (OH)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 19071 (OH)

Record details

NPI number1134640725
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-CNP
Sole proprietorNo
NPI enumeratedJuly 4, 2017
Last updated in NPPESAugust 20, 2024
Certification dateAugust 20, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare