Individual provider Active NPI

Brent A Plummer, APRN, MSN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Erlanger, KY
National Provider Identifier
1083107056
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3012754 Issued in KY
Practice address
820 Dolwick Dr
Erlanger, KY 41018-2774
Phone
(859) 429-5188
Fax
(859) 287-3297
NPI assigned
Jun 13, 2018
Last updated
Sep 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3012754 KY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3012754 KY Primary

Addresses

Primary practice location

820 Dolwick Dr
Erlanger, KY 41018-2774

Mailing address

820 Dolwick Dr
Erlanger, KY 41018-2774
Phone (859) 429-5188

Other practice location 1

334 Thomas More Parkway
Crestview Hills, KY 41017
Phone (859) 301-5901

Other identifiers 1

IdentifierTypeStateIssuer
7100564130MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20190102000539 KY Practitioner - Nurse Practitioner 0042555641 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Medical Group IncGroup PAC ID 2163326240, 803 clinicians

Practice addresses (Care Compare)

6105 1St Financial Dr
Burlington, KY 41005-7892
Phone (859) 301-5901

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
3012754KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group, Inc. CurrentSince Apr 7, 2019 Accepting new patients
Summit Medical Group, Inc Nurse Practitioner CurrentSince Apr 7, 2019 Accepting new patients

Locations

6105 1st Financial Dr
Burlington, KY 41005
Phone (859) 525-1846

334 Thomas More Pkwy
Crestview Hills, KY 41017
Phone (859) 331-6065

351 Centre View Blvd
Crestview Hills, KY 41017
Phone (859) 572-2000

405 Violet Rd
Crittenden, KY 41030
Phone (859) 428-1610

1 Medical Village Dr
Edgewood, KY 41017
Phone (859) 301-2000

820 Dolwick Dr
Erlanger, KY 41018
Phone (859) 429-5188

85 N Grand Ave
Fort Thomas, KY 41075
Phone (859) 572-3100

1980 Litton Ln
Hebron, KY 41048
Phone (859) 334-8700

300 Barnes Rd
Williamstown, KY 41097
Phone (859) 824-8217

Interoperability endpoints

  • Direct secure messaging: bplummer272423@direct-prd.stelizabeth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1083107056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 DOLWICK DR",
            "city": "ERLANGER",
            "state": "KY",
            "postal_code": "410182774",
            "telephone_number": "859-429-5188",
            "fax_number": "859-287-3297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 DOLWICK DR",
            "city": "ERLANGER",
            "state": "KY",
            "postal_code": "410182774",
            "telephone_number": "859-429-5188",
            "fax_number": "859-287-3297"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "334 Thomas More Parkway",
            "address_purpose": "LOCATION",
            "city": "Crestview Hills",
            "state": "KY",
            "postal_code": "41017",
            "country_code": "US",
            "telephone_number": "859-301-5901",
            "fax_number": "859-301-5940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PLUMMER",
        "first_name": "BRENT",
        "middle_name": "A",
        "credential": "APRN, MSN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-13",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3012754",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3012754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100564130",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Erlanger, KY

Sources for this page

Verify at the official NPI Registry.