Brandie Anne Herdlitzka, MSN, APRN, NP-C

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

APRN.CNP.025898 Issued in OH

Practice address

5115 Amanda Northern Rd SW
Amanda, OH 43102-9332

Phone

(740) 969-4828

NPI assigned

Nov 1, 2019

Last updated

Nov 1, 2019By 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

Medicare fee-for-service enrollment

Enrolled in OH

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, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fairfield Healthcare Professionals IncGroup PAC ID 4789596362, 144 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Fairfield Medical Center Hospital, Lancaster, OH, CCN 360072

Merit-based Incentive Payment System (MIPS)

Final score

76.95 of 100Reported as group

Quality

43.39

Promoting interoperability

100

Improvement activities

40

Cost

76.51

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Master of Science - Nursing

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.

• Fairfield Healthcare Professionals Inc

  • Surgery Physician
  • Lancaster, OH
  • NPI 1457396368
  Medicare reassignment Care Compare group NPD
• Fairfield Healthcare Professionals, Inc.

  dba Fairfield Medical Urgent Care

  • Urgent Care Clinic/Center
  • Lancaster, OH
  • NPI 1700334182
  NPD
• Fairfield Healthcare Professionals Inc

  dba Fairfield Psychiatric Services

  • Psychiatry Physician
  • Lancaster, OH
  • NPI 1255372215
  NPD (past)
• Fairfield Healthcare Professionals, Inc.

  dba Baltimore Family Practice

  • Family Medicine Physician
  • Baltimore, OH
  • NPI 1174579791
  NPD (past)

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

• Fairfield Medical Center

  • General Acute Care Hospital
  • Lancaster, OH
  • NPI 1467433763
  Care Compare affiliation

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

{
    "created_epoch": "1572566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572566400000",
    "number": "1114561297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2432 PERRY RDG",
            "city": "NELSONVILLE",
            "state": "OH",
            "postal_code": "457649515",
            "telephone_number": "740-590-6862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5115 AMANDA NORTHERN RD SW",
            "city": "AMANDA",
            "state": "OH",
            "postal_code": "431029332",
            "telephone_number": "740-969-4828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERDLITZKA",
        "first_name": "BRANDIE",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-01",
        "last_updated": "2019-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "APRN.CNP.025898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dylan Louis Ekstrand, DO
• Fairfield Comminity Health Center
• Leslie Marie Fletcher
• Wendi L Fletcher
• Brandon Hampton
• Holly Spaulding
• Jenkins Airway LLC
• Jenkins Family Dental
• Jenkins Family Dental (Amanda Family Dental)
• Andrew Junak, PT, DPT

• Family Medicine Physician in Amanda, OH
• Providers in Amanda, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2019; 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.