Brent Lee Hallmark, MSN, APRN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

904192 Issued in MS

Practice address

830 S Gloster St
Tupelo, MS 38801-4934

Phone

(662) 377-3000

NPI assigned

Oct 9, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Boa Vida Hospital of Aberdeen Ms LLCGroup PAC ID 0244505840, shared by 26 NPIs, 70 clinicians

Fast Pace Mississippi PLLCGroup PAC ID 3678832029, 192 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Monroe Regional Hospital Hospital, Aberdeen, MS, CCN 251302

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

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 and National Provider Directory roles.

• Fast Pace Mississippi, PLLC

  • Rural Health Clinic/Center
  • Ripley, MS
  • NPI 1447769559
  Medicare reassignment Care Compare group
• North Mississippi Gilmore Clinics, LLC

  • Internal Medicine Physician
  • Amory, MS
  • NPI 1225502370
  Medicare reassignment NPD
• North Mississippi Medical Center Inc

  • Psychologist
  • Tupelo, MS
  • NPI 1972608347
  Medicare reassignment NPD
• North Mississippi Medical Clinics Inc

  • Internal Medicine Physician
  • Tupelo, MS
  • NPI 1053469486

  Family

  Medicare reassignment NPD
• Upperline Healthcare, PC

  • Foot & Ankle Surgery Podiatrist
  • Hoover, AL
  • NPI 1538686498

  MS

  Medicare reassignment
• North Mississippi Gilmore Clinics, LLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Amory, MS
  • NPI 1588128896
  NPD
• North Mississippi Gilmore Clinics, LLC

  • Internal Medicine Physician
  • Hamilton, MS
  • NPI 1851855167

  Family

  NPD
• North Mississippi Medcial Center, Inc.

  • Diagnostic Radiology Physician
  • Tupelo, MS
  • NPI 1902762487
  NPD
• North Mississippi Medical Center

  • Surgery Physician
  • West Point, MS
  • NPI 1619238961
  NPD
• North Mississippi Medical Clinics Inc

  • Obstetrics & Gynecology Physician
  • West Point, MS
  • NPI 1588769970
  NPD
• Boa Vida Hospital of Aberdeen, Ms LLC

  • Rural Health Clinic/Center
  • Tupelo, MS
  • NPI 1558952192
  NPD (past)
• Boa Vida Hospital of Aberdeen, Ms LLC

  • Rural Health Clinic/Center
  • Tupelo, MS
  • NPI 1669063202
  NPD (past)

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

• Boa Vida Hospital of Aberdeen, Ms, LLC

  • Critical Access Hospital
  • Aberdeen, MS
  • NPI 1285164046
  Care Compare affiliation

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

{
    "created_epoch": "1602201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1093313397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 BURMA CV",
            "city": "SALTILLO",
            "state": "MS",
            "postal_code": "388666992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 S GLOSTER ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014934",
            "telephone_number": "662-377-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLMARK",
        "first_name": "BRENT",
        "middle_name": "LEE",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-09",
        "last_updated": "2020-10-09",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "904192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyndall L Hall, PA
• Sabrina Hurd Hall, PMHNP
• Samuel Robert Hall, D.M.D
• Stephanie Hall
• Gillbert Daryl Hallman, MD
• Codi Hallmark
• Miriam Hallmark
• Shelley Marie Hamblin, MSN, FNP-C
• Uzair Hamid
• Sharon Hamilton-Martin

• Family Nurse Practitioner in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; 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.