Individual provider Active NPI

Brianna Christine Medlin, MSN, APRN, FNP-C

  • Nurse Practitioner
  • Benton Harbor, MI
National Provider Identifier
1104472299
Registry record updated Aug 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704305450 Issued in MI
Practice address
800 M 139
Benton Harbor, MI 49022-3881
Phone
(855) 869-6900
NPI assigned
Aug 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704305450 MI Primary

Addresses

Primary practice location

800 M 139
Benton Harbor, MI 49022-3881

Mailing address

1606 Orchard LN
Niles, MI 49120-8947
Phone (269) 340-2644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20191017002694 MI Practitioner - Nurse Practitioner 7810228103 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Epmg Southwest Michigan PLLCGroup PAC ID 2769719236, 45 clinicians
Pic Indiana PCGroup PAC ID 3476790239, 143 clinicians

Practice addresses (Care Compare)

1234 Napier Ave
Saint Joseph, MI 49085-2112
Phone (954) 939-5000

25 Columbia Ave E
Battle Creek, MI 49015-3703
Phone (269) 425-3017

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704305450MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hometown Urgent Care of Michigan, PC CurrentSince Apr 14, 2025 Accepting new patients
Hometown Urgent Care of Michigan, P.C. Current Accepting new patients
Hometown Urgent Care of Michigan, P.C. CurrentSince Apr 14, 2025 Accepting new patients
Pic Indiana PC CurrentSince May 1, 2025 Accepting new patients
Intercare Community Health Network CurrentSince Sep 9, 2019 Accepting new patients
Epmg Southwest Michigan PLLC Nurse Practitioner CurrentSince Aug 3, 2020 Accepting new patients
Intercare Community Health Network CurrentSince Sep 9, 2019 Accepting new patients

Locations

1131 M 32 W
Alpena, MI 49707
Phone (989) 250-1925

50 Industrial Park Rd
Bangor, MI 49013
Phone (269) 427-7937

25 Columbia Ave E
Battle Creek, MI 49015
Phone (269) 425-3017

800 M 139
Benton Harbor, MI 49022
Phone (269) 927-5400

1634 Gull Rd
Kalamazoo, MI 49048
Phone (269) 903-2835

1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941

3570 N US 31 S
Traverse City, MI 49684
Phone (231) 486-2573

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1104472299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1606 ORCHARD LN",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491208947",
            "telephone_number": "269-340-2644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 M 139",
            "city": "BENTON HARBOR",
            "state": "MI",
            "postal_code": "490223881",
            "telephone_number": "855-869-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDLIN",
        "first_name": "BRIANNA",
        "middle_name": "CHRISTINE",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-14",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704305450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benton Harbor, MI

Sources for this page

Verify at the official NPI Registry.