Individual provider Active NPI

Brenda P Deleon, APRN

  • Family Nurse Practitioner
  • Kearney, NE
National Provider Identifier
1205406576
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
113711 Issued in NE
Practice address
816 22ND Ave
Kearney, NE 68845-2234
Phone
(308) 865-2263
NPI assigned
Jun 29, 2021
Last updated
Nov 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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 113711 NE Primary
Registered Nurse 163W00000X 72495 NE

Addresses

Primary practice location

816 22ND Ave
Kearney, NE 68845-2234

Mailing address

816 22ND Ave
Kearney, NE 68845-2234
Phone (308) 865-2263

Other names 1

  • Mrs. Brenda P Deleon Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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

Enrollment IDStateProvider typePAC IDDetails
I20211021001722 NE Practitioner - Nurse Practitioner 7416345582 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bryan Hospital KearneyGroup PAC ID 5991195547, 116 clinicians

Practice addresses (Care Compare)

816 22ND Ave
Suite 100
Kearney, NE 68845-2226
Phone (308) 865-2263

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
72495NEMDRegistered Nurse
113711NEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bryan Hospital Kearney Family Medicine CurrentSince Oct 1, 2024 Accepting new patients
Bryan Hospital Kearney CurrentSince Oct 1, 2024 Accepting new patients
Brad Rodgers MD Family Practice & Sports Medicine Family Medicine CurrentSince Sep 1, 2021 Accepting new patients
Platte Valley Medical Group, P.C. PastSince Sep 1, 2024 Accepting new patients

Locations

102 3rd Ave
Kearney, NE 68845
Phone (308) 237-2273

102 3rd Ave
Ste A
Kearney, NE 68845
Phone (308) 237-2273

3500 Central Ave
Ste A
Kearney, NE 68847
Phone (308) 237-2273

804 22nd Ave
Kearney, NE 68845
Phone (308) 455-3600

816 22nd Ave
Ste 100
Kearney, NE 68845
Phone (308) 865-2263

Interoperability endpoints

  • Direct secure messaging: bdeleon175140@hisp.bryanhealth.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1205406576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 22ND AVE",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688452234",
            "telephone_number": "308-865-2263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 22ND AVE",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688452234",
            "telephone_number": "308-865-2263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELEON",
        "first_name": "BRENDA",
        "middle_name": "P",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-29",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "113711",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NE",
            "license": "72495",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENDA",
            "last_name": "DELEON",
            "middle_name": "P",
            "prefix": "MRS.",
            "credential": "APRN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Kearney, NE

Sources for this page

Verify at the official NPI Registry.