Individual provider Active NPI

Brandon Langston

  • Family Nurse Practitioner
  • Minden, NV
National Provider Identifier
1043941859
Registry record updated Jun 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
PENDING Issued in NV
Practice address
897 Ironwood Dr Ste a
Minden, NV 89423-5198
Phone
(775) 782-1610
NPI assigned
Jun 22, 2022
Last updated
Jun 22, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X PENDING NV Primary

Addresses

Primary practice location

897 Ironwood Dr Ste a
Minden, NV 89423-5198

Mailing address

528 Randolph St
Northville, MI 48167-1466

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20221014000828 NV Practitioner - Nurse Practitioner 2769858885 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Michigan Medical School, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carson Valley Medical Center Rural Health ClinicGroup PAC ID 2860579984, 43 clinicians

Practice addresses (Care Compare)

897 Ironwood Dr
Minden, NV 89423-5198
Phone (775) 782-1610

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.71 of 100Reported as apm
Quality
81.42
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carson Valley Medical Center Rural Health Clinic CurrentSince Aug 1, 2022 Accepting new patients

Locations

1520 Virginia Ranch Rd
Gardnerville, NV 89410
Phone (775) 782-1550

897 Ironwood Dr
Minden, NV 89423
Phone (775) 364-1411

897 Ironwood Dr
Ste A
Minden, NV 89423
Phone (775) 782-1610

Interoperability endpoints

  • Direct secure messaging: blangston145826@direct.renown.org

Organizations & group practices 1

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1043941859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 RANDOLPH ST",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481671466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "897 IRONWOOD DR STE A",
            "city": "MINDEN",
            "state": "NV",
            "postal_code": "894235198",
            "telephone_number": "775-782-1610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGSTON",
        "first_name": "BRANDON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-22",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minden, NV

Sources for this page

Verify at the official NPI Registry.