Kip Wayne Bryant, PMHNP | NPI 1083380349

Key facts

NPI: 1083380349
Entity type: Individual (NPI type 1)
Primary specialty: Psychiatric/Mental Health Nurse Practitioner 363LP0808X
License: APRN.CNP.0029552 (OH)
Practice address: 500 Burlington Rd Ste 240
Jackson, OH 45640-9360
Phone: (740) 286-5075
Fax: (740) 395-8411
NPI assigned: Aug 18, 2021
Sex: Male
Sole proprietor: No

Organizations & group practices 3

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.

Hopewell Health Centers Inc Mental Health Clinic/Center (Including Community Mental Health Center) · Athens, OH · NPI 1699010348

Medicare reassignment NPD OH
Hopewell Health Centers Inc Mental Health Clinic/Center (Including Community Mental Health Center) · Jackson, OH · NPI 1861909400

NPD
Hopewell Health Centers, Inc. Community/Retail Pharmacy · The Plains, OH · NPI 1215777230

NPD

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: Other, 2020
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Hopewell Health Centers, Inc. (55 clinicians)

Practice addresses (Care Compare)

500 Burlington Rd
Suite 240
Jackson, OH 45640-9360
Phone (740) 286-5075

Medicare participation

Medicare fee-for-service enrollment: Enrolled in OH
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20210827001047	OH	Practitioner - Nurse Practitioner	7911302088	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

Practice roles

Organization	Status	New patients
Hopewell Health Centers, Inc.	Current since Sep 13, 2021	Accepting new patients
Hopewell Health Centers Inc	Current since Sep 13, 2021	Accepting new patients
Hopewell Health Centers Inc	Current	Accepting new patients

Locations

90 Hospital Dr
Athens, OH 45701
Phone (740) 592-3091

500 Burlington Rd
Ste 240
Jackson, OH 45640
Phone (740) 286-5075

31891 State Route 93
Mc Arthur, OH 45651
Phone (740) 596-5249

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Psychiatric/Mental Health Nurse Practitioner	363LP0808X	APRN.CNP.0029552	OH	Yes

Addresses

Primary practice location

500 Burlington Rd Ste 240
Jackson, OH 45640-9360

Mailing address

PO Box 188
Chillicothe, OH 45601-0188
Phone (740) 773-4366

Other practice location 1

31891 State Route 93
Mc Arthur, OH 45651-9006
Phone (740) 596-5249

Other providers in Jackson, OH

Kenneth W Brown, D.O.
Mallory Paige Brown, M.S., CCC-SLP
Mariah Taylor Brown, APRN
Peyton Alexus Marie Browning, M.A., CF-SLP
David E Brushart, R.PH.
Sherleena Buchman, PHD, MS, RN
Buckeye Community Services, Inc
Buckeye Community Services, Inc.
Buckeye Community Services, Inc.
Buckeye Forest at Jackson LLC

All providers in Jackson, OH · Psychiatric/Mental Health Nurse Practitioner in Ohio

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2021. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.