Individual provider Active NPI

Susan L Branham, RN, ANP-BC, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Mount Pleasant, TX
National Provider Identifier
1154574747
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP117248 Issued in TX
Practice address
107 W 20TH St
Mount Pleasant, TX 75455-2323
Phone
(903) 575-7856
Fax
(903) 572-3407
NPI assigned
Oct 28, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AP117248 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP117248 TX Primary

Addresses

Primary practice location

107 W 20TH St
Mount Pleasant, TX 75455-2323

Mailing address

107 W 20TH St
Mount Pleasant, TX 75455-2323
Phone (903) 575-7856

Other identifiers 1

IdentifierTypeStateIssuer
NP 0439OtherTXMEDICARE PTAN

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20090406000565 TX Practitioner - Nurse Practitioner 8426105594 Reassigns benefits to 1 organization
Practice locations: Mount Pleasant, TX

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

107 W 20TH St
Mount Pleasant, TX 75455-2323
Phone (903) 575-7856

Hospital & facility affiliations

  • Titus Regional Medical Center Hospital, Mount Pleasant, TX, CCN 450080

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Susan Branham Adult Health Current Accepting new patients

Locations

107 W 20th St
Mt Pleasant, TX 75455
Phone (903) 572-8783

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.

Hospital & facility affiliations 2

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": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1154574747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 W 20TH ST",
            "city": "MOUNT PLEASANT",
            "state": "TX",
            "postal_code": "754552323",
            "telephone_number": "903-575-7856",
            "fax_number": "903-946-5258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 W 20TH ST",
            "city": "MOUNT PLEASANT",
            "state": "TX",
            "postal_code": "754552323",
            "telephone_number": "903-575-7856",
            "fax_number": "903-572-3407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANHAM",
        "first_name": "SUSAN",
        "middle_name": "L",
        "credential": "RN, ANP-BC, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-28",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "AP117248",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP117248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "NP 0439",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, TX

Sources for this page

Verify at the official NPI Registry.