Individual provider Active NPI

Wendy Jean Brandeberry, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Mansfield, OH
National Provider Identifier
1033828389
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.0035005 Issued in OH
Practice address
580 Park Ave W
Mansfield, OH 44906-3722
Phone
(833) 510-4357
NPI assigned
Nov 15, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.0035005 OH Primary

Addresses

Primary practice location

580 Park Ave W
Mansfield, OH 44906-3722

Mailing address

4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600

Other identifiers 1

IdentifierTypeStateIssuer
2910854MedicaidOH

Other names 1

  • Wendy Jean Frost Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231128001867 OH Practitioner - Nurse Practitioner 2567810807 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Viaquest Psychiatric and Behavioral Solutions LLCGroup PAC ID 1153358486, 118 clinicians

Practice addresses (Care Compare)

525 Metro PL N
Suite 300
Dublin, OH 43017-5320
Phone (855) 289-1722

Merit-based Incentive Payment System (MIPS)

Final score
23.69 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
78.96

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brightview LLC CurrentSince Jan 27, 2025 Accepting new patients
Brightview, LLC CurrentSince Jan 27, 2025 Accepting new patients
A Quiet Mind Psychiatric/Mental Health CurrentSince Sep 28, 2025 Accepting new patients

Locations

4600 Montgomery Rd
Ste 400
Cincinnati, OH 45212
Phone (513) 873-1269

6527 Colerain Ave
Cincinnati, OH 45239
Phone (513) 385-5000

879 Park Ave W
Mansfield, OH 44906
Phone (419) 529-0455

580 Park Ave W
Mansfield, OH 44906
Phone (888) 501-9865

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1033828389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MONTGOMERY RD STE 400",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 PARK AVE W",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449063722",
            "telephone_number": "833-510-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDEBERRY",
        "first_name": "WENDY",
        "middle_name": "JEAN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-15",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0035005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2910854",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WENDY",
            "last_name": "FROST",
            "middle_name": "JEAN",
            "credential": "APRN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mansfield, OH

Sources for this page

Verify at the official NPI Registry.