Individual provider Active NPI

Rebecca Brandenburg, APRN- CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Berea, KY
National Provider Identifier
1104393925
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3012601 Issued in KY
Practice address
305 Estill St
Berea, KY 40403-1742
Phone
(859) 985-1415
Fax
(859) 986-6752
NPI assigned
Oct 30, 2018
Last updated
Mar 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3012601 KY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3012601 KY Primary

Addresses

Primary practice location

305 Estill St
Berea, KY 40403-1742

Mailing address

1010 Main St S
MC Kee, KY 40447-7089
Phone (859) 626-7700

Other practice location 1

110 River Dr
Irvine, KY 40336-1118
Phone (606) 717-1024

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
I20181204002107 KY Practitioner - Nurse Practitioner 8426392333 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychmind Counseling and Psychiatry LLCGroup PAC ID 6901279918, 10 clinicians
Hilltop Primary Care IncGroup PAC ID 8628969847, 8 clinicians

Practice addresses (Care Compare)

6031 E Main St
Suite 147
Columbus, OH 43213-3590
Phone (859) 328-2473

7617 Upper Johns Creek Rd
Phelps, KY 41553-8775
Phone (606) 835-9333

950 Red House Rd
Richmond, KY 40475-9392
Phone (859) 328-2473

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Health Help Incorporated Current Accepting new patients
Health Help Incorporated CurrentSince Feb 24, 2020 Accepting new patients
Hilltop Primary Care, Inc CurrentSince Apr 23, 2025 Accepting new patients
Psychmind Counseling and Psychiatry LLC CurrentSince Mar 5, 2024 Accepting new patients
Endeavor Health, PLLC Family CurrentSince Mar 11, 2025 Accepting new patients
Hilltop Primary Care, Inc CurrentSince Apr 23, 2025 Accepting new patients
Health Help Incorporated CurrentSince Feb 24, 2020 Accepting new patients
Health Help Incorporated Current Accepting new patients
Health Help Incorporated Current Accepting new patients
Health Help Incorporated Current Accepting new patients
Health Help Incorporated Current Accepting new patients
Health Help Incorporated Current Accepting new patients
Trinity Health Group, LLC Psychiatric/Mental Health CurrentSince Apr 1, 2024 Accepting new patients
Brandenburg4Llc Past Accepting new patients

Locations

104 Legacy Dr
Berea, KY 40403
Phone (858) 986-2323

305 Estill St
Berea, KY 40403
Phone (859) 986-1415

110 River Dr
Irvine, KY 40336
Phone (606) 717-1024

30 Stacy Lane Rd
Irvine, KY 40336
Phone (606) 723-0665

103 Southern Soul Way
Lancaster, KY 40444
Phone (855) 942-7787

1010 Main St S
McKee, KY 40447
Phone (606) 287-7104

116 Progress Dr
Mount Vernon, KY 40456
Phone (606) 256-2143

480 Main St
Paint Lick, KY 40461
Phone (859) 925-2444

7617 Upper Johns Creek Rd
Phelps, KY 41553
Phone (606) 835-9333

120 N 2nd St
Richmond, KY 40475

238 N 2nd St
Ste 2
Richmond, KY 40475
Phone (859) 328-2473

401 Highland Park Dr
Richmond, KY 40475
Phone (859) 626-7700

950 Red House Rd
Richmond, KY 40475
Phone (859) 328-2473

6031 E Main St
Columbus, OH 43213
Phone (614) 967-7775

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/DFJBDD/Endpoint/DFJBDD

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1540857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1104393925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 MAIN ST S",
            "city": "MC KEE",
            "state": "KY",
            "postal_code": "404477089",
            "telephone_number": "859-626-7700",
            "fax_number": "859-626-7890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 ESTILL ST",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404031742",
            "telephone_number": "859-985-1415",
            "fax_number": "859-986-6752"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 River Dr",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "KY",
            "postal_code": "403361118",
            "country_code": "US",
            "telephone_number": "606-717-1024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRANDENBURG",
        "first_name": "REBECCA",
        "credential": "APRN- CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-30",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3012601",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3012601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berea, KY

Sources for this page

Verify at the official NPI Registry.