Active NPI
Brittany Nichol Harrison, FNP
- Family Nurse Practitioner
- Evansville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71004067A
- Practice address
- 700 Kimber Lane
Evansville, IN 47715-2803 - Phone
- (812) 476-7111
- Fax
- (812) 476-7117
- NPI assigned
- Jun 5, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71004067A | IN | Primary |
| Family Nurse Practitioner | 363LF0000X | 3013026 | KY |
Addresses
Primary practice location
700 Kimber Lane
Evansville, IN 47715-2803
Mailing address
PO Box 21890
Belfast, ME 04915-4115
Phone (502) 907-0356
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9815905 | Other | IN | AETNA PIN |
| 1554303 | Other | WELLCARE ID | |
| CS1817800169 | Other | IN | CARESOURCE ID |
| 7100498190 | Medicaid | KY | |
| 201287400B | Other | IN | MEDICAID GROUP ID |
| PDZ000000063404 | Other | KY | AETNA BETTER HEALTH OF KY PROVIDER ID NUMBER |
| 000001155086 | Other | IN | ANTHEM ID |
| 300015279 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | brittany.harrison.1@16521.direct.athenahealth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
120 Executive Park
Louisville, KY 40207-4201
Phone (502) 855-7200
520 S 7TH St
Suite 159
Vincennes, IN 47591-1038
Phone (812) 962-7890
700 Kimber LN
Evansville, IN 47715-2803
Phone (812) 476-7111
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.99 of 100
- Quality
- 81.97
- Promoting interoperability
- 97
- Improvement activities
- 40
- Cost
- 77.29
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commonwealth Pain Associates, PLLC | Family | Current | Accepting new patients |
| Commonwealth Pain Associates PLLC | Current | Accepting new patients |
Locations
700 Kimber Ln
Evansville, IN 47715
7145 E Virginia St
Ste 5000
Evansville, IN 47715
Phone (812) 476-6163
5435 Pearl Dr
Ste 4
Evansville, IN 47712
Phone (810) 347-6711
600 W 13th St
Ste 268
Jasper, IN 47546
1025 1st Ave W
Jasper, IN 47546
Phone (812) 482-6066
520 S 7th St
Ste 159
Vincennes, IN 47591
Phone (812) 962-7890
223 Executive Park
Louisville, KY 40207
2609 New Hartford Rd
Ste 3
Owensboro, KY 42303
Phone (270) 417-2000
120 Executive Park
St Matthews, KY 40207
Phone (502) 409-9925
Interoperability endpoints
- bharrison12449@direct.deaconess.com
- https://api.platform.athenahealth.com/16521/brand/1/csg/1/fhir/r4
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.
-
- Interventional Pain Medicine Physician
- Louisville, KY
- NPI 1306280177
Family, IN
-
- Durable Medical Equipment & Medical Supplies
- Paducah, KY
- NPI 1114753720
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newburgh, IN
- NPI 1780535427
-
- General Acute Care Hospital
- Evansville, IN
- NPI 1053361642
-
- General Acute Care Hospital
- Evansville, IN
- NPI 1427082957
-
- General Acute Care Hospital
- Henderson, KY
- NPI 1083759633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655164800000",
"number": "1164783387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 21890",
"city": "BELFAST",
"state": "ME",
"postal_code": "049154115",
"telephone_number": "502-907-0356",
"fax_number": "502-919-9780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 KIMBER LANE",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477152803",
"telephone_number": "812-476-7111",
"fax_number": "812-476-7117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISON",
"first_name": "BRITTANY",
"middle_name": "NICHOL",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-05",
"last_updated": "2022-06-14",
"certification_date": "2022-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71004067A",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3013026",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PIN",
"identifier": "9815905",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE ID",
"identifier": "1554303",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARESOURCE ID",
"identifier": "CS1817800169",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100498190",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID GROUP ID",
"identifier": "201287400B",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA BETTER HEALTH OF KY PROVIDER ID NUMBER",
"identifier": "PDZ000000063404",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM ID",
"identifier": "000001155086",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300015279",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "brittany.harrison.1@16521.direct.athenahealth.com",
"affiliation": "N",
"address_1": "700 Kimber Lane",
"city": "Evansville",
"state": "IN",
"country_code": "US",
"postal_code": "477152803",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.