Active NPI
Amanda Jane Brashear, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Bloomington, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 71017365A
- Practice address
- 3577 W Cockrell Rd
Bloomington, IN 47403-8710 - Phone
- (812) 327-0171
- NPI assigned
- Apr 5, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 71017365A | IN | Primary |
Addresses
Primary practice location
3577 W Cockrell Rd
Bloomington, IN 47403-8710
Mailing address
3577 W Cockrell Rd
Bloomington, IN 47403-8710
Phone (812) 327-0171
Other practice location 1
901 S Rogers St Ste 101
Bloomington, IN 47403-4760
Phone (812) 322-4979
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3577 W Cockrell Rd
Bloomington, IN 47403-8710
6326 Constitution Dr
Fort Wayne, IN 46804-1518
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71017365A | IN | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brashear Psychiatric Services, LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Haven'S Holistic Healing LLC | Current | Accepting new patients |
Locations
901 S Rogers St
Ste 101
Bloomington, IN 47403
Phone (812) 322-4979
6280 N College Ave
Ste 150
Indianapolis, IN 46220
Phone (518) 246-6884
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.
-
- Primary Care Clinic/Center
- Bloomington, IN
- NPI 1902619604
-
- Psychiatric/Mental Health Nurse Practitioner
- Bloomington, IN
- NPI 1659216315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775692800000",
"number": "1174317259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3577 W COCKRELL RD",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474038710",
"telephone_number": "812-327-0171",
"fax_number": "317-669-6896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3577 W COCKRELL RD",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474038710",
"telephone_number": "812-327-0171"
}
],
"practiceLocations": [
{
"address_1": "901 S Rogers St Ste 101",
"address_purpose": "LOCATION",
"city": "Bloomington",
"state": "IN",
"postal_code": "474034760",
"country_code": "US",
"telephone_number": "812-322-4979",
"fax_number": "317-669-6896",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRASHEAR",
"first_name": "AMANDA",
"middle_name": "JANE",
"credential": "PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-05",
"last_updated": "2026-04-09",
"certification_date": "2026-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "IN",
"license": "71017365A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; 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.