Brandy Ault Petersen, RN, MSN, ANP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

262850 Issued in MA

Practice address

180 George Washington Blvd
Hull, MA 02045-3069

Phone

(617) 376-3000

Fax

(617) 774-1906

NPI assigned

Nov 2, 2007

Sex

Female

Sole proprietor

No

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.

• South Shore Medical Center, Inc.

  • Internal Medicine Physician
  • Norwell, MA
  • NPI 1669411856

  MA

  Medicare reassignment Care Compare group NPD
• Select Rehabilitation, LLC

  • Rehabilitation Clinic/Center
  • Glenview, IL
  • NPI 1346368248
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• South Shore Hospital Inc.

  • Home Health Agency
  • Braintree, MA
  • NPI 1669558474
  Care Compare affiliation Name & address match
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Plymouth, MA
  • NPI 1366481293
  Care Compare affiliation
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • South Easton, MA
  • NPI 1811257694
  Care Compare affiliation
• Brigham & Womens Hospital, Inc.

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1790717650

  Hospital

  Care Compare affiliation
• Norwell Visiting Nurse Association Inc

  • Home Health Agency
  • Norwell, MA
  • NPI 1043398498
  Care Compare affiliation
• South Shore Hospital Inc.

  • General Acute Care Hospital
  • South Weymouth, MA
  • NPI 1134227606

  Hospital

  Care Compare affiliation

Specialty

Nurse Practitioner

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South Shore Medical Center, Inc. 174 clinicians

Select Rehabilitation, LLC 1,935 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• South Shore Visiting Nurse Association Home health agency, Rockland, MA, CCN 227082
• Croi Health Home health agency, Norwell, MA, CCN 227241
• Bayada Home Health Care Inc Home health agency, Plymouth, MA, CCN 227537
• South Shore Hospital Hospital, South Weymouth, MA, CCN 220100
• Brigham and Women'S Hospital Hospital, Boston, MA, CCN 220110

Medicare fee-for-service enrollment

Enrolled in MA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Master of Science - Nursing, Registered Nurse

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 1, 2013.

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375315200000",
    "number": "1194904532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W SQUANTUM ST",
            "city": "NORTH QUINCY",
            "state": "MA",
            "postal_code": "021712122",
            "telephone_number": "617-376-3000",
            "fax_number": "617-774-1906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 GEORGE WASHINGTON BLVD",
            "city": "HULL",
            "state": "MA",
            "postal_code": "020453069",
            "telephone_number": "617-376-3000",
            "fax_number": "617-774-1906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSEN",
        "first_name": "BRANDY",
        "middle_name": "AULT",
        "name_prefix": "Ms.",
        "credential": "RN, MSN, ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-02",
        "last_updated": "2013-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "262850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katharine Niven, LMHC
• Anna Olore
• Bilun Ozbilen
• Jennifer Palermo
• Erica Spruill Pearson, LMHC
• Queen Bee Fitness and Wellness
• Naima Qureshi
• John Reilly, PT
• Jordan Rose Rinaldi
• Erin Elizabeth Ritchie, COTA

• All providers in Hull, MA
• Adult Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2013; 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.

Verify at the official NPI Registry.