Christy Lin Bramwell, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2012002377 Issued in MO

Practice address

1905 W 19TH St
Mountain Grove, MO 65711-1287

Phone

(417) 926-1770

Fax

(417) 926-1785

NPI assigned

Jan 26, 2012

Last updated

Sep 30, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MO

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

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Texas County Memorial HospitalGroup PAC ID 9436041696, 30 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Texas County Memorial Hospital Hospital, Houston, MO, CCN 260024

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Texas County Memorial Hospital

  dba TCMH - Mountain Grove Clinic

  • Primary Care Clinic/Center
  • Mountain Grove, MO
  • NPI 1285957001
  Medicare reassignment Care Compare group NPD
• Texas County Memorial Hospital

  dba TCMH Health Clinic - Annex

  • Clinic/Center
  • Houston, MO
  • NPI 1497593719
  NPD
• Ozarks Medical Center

  dba Ozarks Healthcare

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)
• Texas County Memorial Hospital

  dba TCMH - Mountain Grove Clinic

  • Rural Health Clinic/Center
  • Mountain Grove, MO
  • NPI 1265754501
  NPD (past)
• Texas County Memorial Hospital

  dba TCMH - Cabool Medical Clinic

  • Primary Care Clinic/Center
  • Cabool, MO
  • NPI 1396785135
  NPD (past)
• Texas County Memorial Hospital

  • General Acute Care Hospital
  • Houston, MO
  • NPI 1790740363
  NPD (past)
• Texas County Memorial Hospital

  dba TCMH Cabool Medical Clinic

  • Rural Health Clinic/Center
  • Cabool, MO
  • NPI 1962529644
  NPD (past)

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

• Texas County Memorial Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Houston, MO
  • NPI 1023179298
  Care Compare affiliation
• Texas County Memorial Hospital

  • General Acute Care Hospital
  • Houston, MO
  • NPI 1790740363
  Care Compare affiliation

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

{
    "created_epoch": "1327536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664496000000",
    "number": "1093086761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 W 19TH ST",
            "city": "MOUNTAIN GROVE",
            "state": "MO",
            "postal_code": "657111287",
            "telephone_number": "417-926-1770",
            "fax_number": "417-926-1785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 W 19TH ST",
            "city": "MOUNTAIN GROVE",
            "state": "MO",
            "postal_code": "657111287",
            "telephone_number": "417-926-1770",
            "fax_number": "417-926-1785"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 W 3rd St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Mountain Grove",
            "state": "MO",
            "postal_code": "657111600",
            "country_code": "US",
            "telephone_number": "417-926-3743",
            "fax_number": "417-926-7625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAMWELL",
        "first_name": "CHRISTY",
        "middle_name": "LIN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-26",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2012002377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "26D2006074",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420012684",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cheryl J Bell, FNP
• Jennifer Rose Black, M.S., CCC-SLP
• Ernest Blitch, COTA/L
• Elizabeth Ann Chapin Bowen, ATC
• Libby Bowie
• Samuel Lee Brock, PHARMACIST
• Dana Brown
• Jonell Kay Brown
• Matthew Austin Brown, MD
• Anthony Joseph Bruzzichesi, ATC

• Family Nurse Practitioner in Mountain Grove, MO
• Providers in Mountain Grove, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (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.