Individual provider Active NPI

Brandi Nicole Bjornstad, APRN-CNP

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1104577824
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
850062 Issued in NV
Practice address
4750 W Sahara Ave Ste 36
Las Vegas, NV 89102-3557
Phone
(725) 433-3364
NPI assigned
Jan 13, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20221102001744 NV Practitioner - Nurse Practitioner 6002283108 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
850062NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
A Nicknam PC CurrentSince May 16, 2024 Accepting new patients
Archwell Health Professional Services of Nevada, P.C. CurrentSince Sep 1, 2024 Accepting new patients

Locations

1501 W Sunset Rd
Henderson, NV 89014
Phone (725) 269-7001

1765 Village Center Cir
#100
Las Vegas, NV 89134
Phone (702) 380-1712

4750 W Sahara Ave
Ste 36
Las Vegas, NV 89102
Phone (725) 433-3364

4060 N Martin L King Blvd
Ste 101
North Las Vegas, NV 89032
Phone (702) 380-1712

102 Woodmont Blvd
Ste 600
Nashville, TN 37205

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 850062 NV Primary

Addresses

NPPES NPI Registry

Primary practice location

4750 W Sahara Ave Ste 36
Las Vegas, NV 89102-3557

Mailing address

102 Woodmont Blvd Ste 600
Nashville, TN 37205-5250
Phone (888) 987-1151

Other identifiers 3

NPPES NPI Registry
IdentifierTypeStateIssuer
850062OtherNVAPRN
RN57026OtherNVRN LICENSE
F12210837OtherNVAANP CERTIFICATION

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 9, 2024.

{
    "created_epoch": "1642032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1104577824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WOODMONT BLVD STE 600",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372055250",
            "telephone_number": "888-987-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4750 W SAHARA AVE STE 36",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891023557",
            "telephone_number": "725-433-3364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BJORNSTAD",
        "first_name": "BRANDI",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-13",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "850062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN",
            "identifier": "850062",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "RN57026",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AANP CERTIFICATION",
            "identifier": "F12210837",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.