Individual provider Active NPI

Brandy S. McCullough, CRNA

  • Certified Registered Nurse Anesthetist
  • Hammond, LA
National Provider Identifier
1154562742
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP05699 Issued in LA
Practice address
15790 Paul Vega MD Dr
Hammond, LA 70403-1434
Phone
(985) 230-2198
Fax
(985) 230-2159
NPI assigned
Mar 12, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X AP05699 LA Primary

Addresses

Primary practice location

15790 Paul Vega MD Dr
Hammond, LA 70403-1434

Mailing address

PO Box 2668
Hammond, LA 70404-2668
Phone (985) 230-1682

Other practice location 1

3510 N Causeway Blvd
Suite 404
Metairie, LA 70002-3531
Phone (504) 779-5515

Other names 1

  • Brandy S. Jones Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://soapproxyprd.northoaks.org/nohsfhir/api/FHIR/R4/ Health Information Exchange (HIE) North Oaks Medical Center, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090313000457 LA Practitioner - Certified Registered Nurse Anesthetist (Crna) 1658438841 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Oaks Medical Center LLCGroup PAC ID 2466629522, shared by 7 NPIs, 317 clinicians

Practice addresses (Care Compare)

15790 Paul Vega MD Dr
Hammond, LA 70403-1434

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.91 of 100Reported as group
Quality
78.17
Promoting interoperability
100
Improvement activities
40
Cost
67.71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AP05699LAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
North Oaks Medical Center, LLC CurrentSince May 30, 2025 Accepting new patients
Northlake Endoscopy, LLC Current Accepting new patients
Gastroenterology Anesthesia LLC CurrentSince Jul 18, 2022 Accepting new patients
North Oaks Medical Center, LLC CurrentSince Jan 1, 2012 Accepting new patients

Locations

7015 Highway 190 East Service Rd
Ste 103
Covington, LA 70433
Phone (985) 273-3915

2101 Robin Ave
Ste 5
Hammond, LA 70403
Phone (985) 230-5390

16061 Doctors Blvd
Ste A
Hammond, LA 70403
Phone (985) 345-6090

15790 Paul Vega Md Dr
Hammond, LA 70403
Phone (985) 230-1682

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1236816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1154562742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2668",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704042668",
            "telephone_number": "985-230-1682",
            "fax_number": "985-230-6652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15790 PAUL VEGA MD DR",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031434",
            "telephone_number": "985-230-2198",
            "fax_number": "985-230-2159"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3510 N Causeway Blvd",
            "address_2": "Suite 404",
            "address_purpose": "LOCATION",
            "city": "Metairie",
            "state": "LA",
            "postal_code": "700023531",
            "country_code": "US",
            "telephone_number": "504-779-5515",
            "fax_number": "504-779-5568",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCULLOUGH",
        "first_name": "BRANDY",
        "middle_name": "S.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-12",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "AP05699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://soapproxyprd.northoaks.org/nohsfhir/api/FHIR/R4/",
            "affiliation": "Y",
            "affiliationName": "North Oaks Medical Center, LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "15790 Paul Vega Md Dr",
            "city": "Hammond",
            "state": "LA",
            "country_code": "US",
            "postal_code": "704031434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BRANDY",
            "last_name": "JONES",
            "middle_name": "S.",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hammond, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.