Brittany Jean Blankenship, APRN
Individual provider Active NPI Nurse Practitioner · Edgewood, KY
NPI 1154779700 · NPPES record last updated Apr 23, 2025
Key facts
- NPI
- 1154779700
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 3010110 (KY)
- Practice address
- 1 Medical Village Dr
Edgewood, KY 41017-3403 - Phone
- (859) 301-4688
- Fax
- (859) 301-2607
- NPI assigned
- May 24, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Summit Medical Group Inc
Practice addresses (Care Compare)
1 Medical Village Dr
Edgewood, KY 41017-3403
Phone (859) 212-4468
17525 Greendale Plaza Dr
Greendale, IN 47025-8299
Phone (812) 496-4801
Hospital & facility affiliations
- St Elizabeth Edgewood
- St Elizabeth Florence
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.01 of 100
- Quality
- 86.02
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KY, IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160615002696 | KY | Practitioner - Nurse Practitioner | 0648561019 | Reassigns benefits to 2 organizations |
| I20250505000884 | IN | Practitioner - Nurse Practitioner | 0648561019 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Group, Inc. | Current |
Accepting new patients | |
| Summit Medical Group, Inc | Nurse Practitioner | Current | Accepting new patients |
| Summit Medical Group, Inc | Nurse Practitioner | Current |
Accepting new patients |
Locations
204 Bridgeway St
Aurora, IN 47001
Phone (812) 926-3133
17525 Greendale Plaza Dr
Greendale, IN 47025
Phone (859) 301-2238
600 Wilson Creek Rd
Lawrenceburg, IN 47025
Phone (812) 532-2700
1 Medical Village Dr
Edgewood, KY 41017
Phone (859) 301-2000
4900 Houston Rd
Florence, KY 41042
Phone (859) 212-5200
85 N Grand Ave
Fort Thomas, KY 41075
Phone (859) 572-3100
1980 Litton Ln
Hebron, KY 41048
Phone (859) 334-8700
238 Barnes Rd
Williamstown, KY 41097
Phone (859) 292-4000
300 Barnes Rd
Williamstown, KY 41097
Phone (859) 824-8217
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 71013202A | IN | |
| Nurse Practitioner | 363L00000X | 3010110 | KY | Yes |
Addresses
Primary practice location
1 Medical Village Dr
Edgewood, KY 41017-3403
Mailing address
PO Box 635283
Cincinnati, OH 45263-5283
Phone (859) 301-4688
Other names
- Miss Brittany Jean Glockner
Other providers in Edgewood, KY
- William Joseph Blackburn
- Amy Jo Blair
- Julie Blair
- Flynn Charles Blanchet
- Kristie L Blanchet
- April Bleecker
- Jennifer Marie Bleser
- Deborah Elaine Bliss
- Bluegrass Behavioral Health Group, LLC
- Jayne Bodenbach
All providers in Edgewood, KY · Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.