Brainwerks

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

BRAINWERKS

Practice address

1406 Kingsley Ave Ste F
Orange Park, FL 32073-4528

Phone

(904) 849-2566

Fax

(904) 877-3641

NPI assigned

Feb 26, 2024

Organization subpart

No

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

Authorized official

Name

Nicole Hill, APRN, PMHNP-BCNPI 1235716697

Title

Manager

Phone

(904) 849-2566

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicole Hill, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Orange Park, FL
  • NPI 1235716697
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758326400000",
    "number": "1124884390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 KINGSLEY AVE STE F",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734528",
            "telephone_number": "904-849-2566",
            "fax_number": "904-877-3641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 KINGSLEY AVE STE F",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734528",
            "telephone_number": "904-849-2566",
            "fax_number": "904-877-3641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAINWERKS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-26",
        "last_updated": "2025-09-20",
        "certification_date": "2025-09-20",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "904-849-2566",
        "authorized_official_credential": "APRN, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Marie Boyle, DPT
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• Staci Lynn Bracken, D.C.
• Kristyn Bradley, BS
• Kort Thomas Braeutigam, MHA
• Brianna Brand, RDN, CPT
• Amber Brandon
• Ashley Marie Brannon, M.ED. CCC-SLP
• Brave Hearts Welllness Center Inc
• Annette W Brazell

• Psychiatric/Mental Health Nurse Practitioner in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.