Individual provider Active NPI

Brandi Hicks, DNP, NP-C

  • Family Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1134601149
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0994076-NP Issued in CO
Practice address
4041 E San Miguel St
Colorado Springs, CO 80909-3537
Phone
(719) 344-7846
NPI assigned
Sep 6, 2018
Sex
Female
Sole proprietor
No

Organizations & group practices 4

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 CO
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
I20181005000920 CO Practitioner - Nurse Practitioner 9931451739 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.0994076-NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Vista Community Health Centers CurrentSince Sep 4, 2018 Accepting new patients
Peak Vista Community Health Centers CurrentSince Sep 4, 2018 Accepting new patients
Lincoln Community Hospital Current Accepting new patients
Lincoln Community Hospital CurrentSince Sep 11, 2023 Accepting new patients

Locations

1400 E Boulder St
Colorado Springs, CO 80909
Phone (719) 365-5120

350 Printers Pkwy
Colorado Springs, CO 80910
Phone (719) 596-2020

4041 E San Miguel St
Colorado Springs, CO 80909
Phone (719) 344-7846

3205 N Academy Blvd
Ste 130
Colorado Springs, CO 80917
Phone (719) 344-6873

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN.0994076-NP CO Primary

Addresses

NPPES NPI Registry

Primary practice location

4041 E San Miguel St
Colorado Springs, CO 80909-3537

Mailing address

7314 Allens Park Dr
Colo SPGS, CO 80922-1278
Phone (605) 490-2707

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
APN.0994076-NPOtherCOADVANCED PRACTICE NURSE LICENSE
RXN.0103461-NPOtherCONURSE PRACTITIONER RXN LICENSE

Other names 1

NPPES NPI Registry
  • Brandi Lohrenz Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 14, 2022.

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1134601149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7314 ALLENS PARK DR",
            "city": "COLO SPGS",
            "state": "CO",
            "postal_code": "809221278",
            "telephone_number": "605-490-2707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4041 E SAN MIGUEL ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809093537",
            "telephone_number": "719-344-7846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "BRANDI",
        "credential": "DNP, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-06",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0994076-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANCED PRACTICE NURSE LICENSE",
            "identifier": "APN.0994076-NP",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER RXN LICENSE",
            "identifier": "RXN.0103461-NP",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRANDI",
            "last_name": "LOHRENZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.