Individual provider Active NPI

Brittany Nichol Harrison, FNP

  • Family Nurse Practitioner
  • Evansville, IN
National Provider Identifier
1164783387
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71004067A Issued in IN
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

Updated by the provider on Jun 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
9815905OtherINAETNA PIN
1554303OtherWELLCARE ID
CS1817800169OtherINCARESOURCE ID
7100498190MedicaidKY
201287400BOtherINMEDICAID GROUP ID
PDZ000000063404OtherKYAETNA BETTER HEALTH OF KY PROVIDER ID NUMBER
000001155086OtherINANTHEM ID
300015279MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address brittany.harrison.1@16521.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20121103000088 IN Practitioner - Nurse Practitioner 0143471979 Reassigns benefits to 1 organization
I20190201001928 KY Practitioner - Nurse Practitioner 0143471979 Reassigns benefits to 1 organization

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
Commonwealth Pain Associates PLLCGroup PAC ID 0941441919, 156 clinicians

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 100Reported as group
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

OrganizationSpecialtyStatusNew patients
Commonwealth Pain Associates, PLLC Family CurrentSince Mar 13, 2018 Accepting new patients
Commonwealth Pain Associates PLLC CurrentSince Mar 13, 2018 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

  • Direct secure messaging: bharrison12449@direct.deaconess.com
  • FHIR API: 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.