Individual provider Active NPI

Brittany N Hembree, NP

  • Surgery Physician
  • Goshen, IN
National Provider Identifier
1215435458
Registry record updated Aug 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
28174277A Issued in IN
Practice address
2006 S Main St Ste a
Goshen, IN 46526-5232
Phone
(574) 535-9100
Fax
(574) 535-1020
NPI assigned
Jan 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71007796A IN
Surgery Physician 208600000X 28174277A IN Primary

Addresses

Primary practice location

2006 S Main St Ste a
Goshen, IN 46526-5232

Mailing address

2006 S Main St Ste a
Goshen, IN 46526-5232
Phone (574) 535-9100

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address clinical@gsa.directbygreenway.com Direct

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180221001794 IN Practitioner - Nurse Practitioner 9830450592 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gerig Surgical Associates PCGroup PAC ID 6406835941, 8 clinicians

Practice addresses (Care Compare)

2006 S Main St
Suite a
Goshen, IN 46526-5232
Phone (574) 535-9100

Hospital & facility affiliations

  • Goshen Hospital Hospital, Goshen, IN, CCN 150026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
28174277AINMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gerig Surgical Associates PC Surgery CurrentSince Mar 1, 2018 Accepting new patients

Locations

1020 High Rd
Bremen, IN 46506
Phone (574) 309-9967

2006 S Main St
#A
Goshen, IN 46526
Phone (574) 535-9100

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72532

Organizations & group practices 1

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 1

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": "1516665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596412800000",
    "number": "1215435458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 S MAIN ST STE A",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465265232",
            "telephone_number": "574-535-9100",
            "fax_number": "574-535-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 S MAIN ST STE A",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465265232",
            "telephone_number": "574-535-9100",
            "fax_number": "574-535-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEMBREE",
        "first_name": "BRITTANY",
        "middle_name": "N",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-23",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71007796A",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": "28174277A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "clinical@gsa.directbygreenway.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2006 S Main St Ste A",
            "city": "Goshen",
            "state": "IN",
            "country_code": "US",
            "postal_code": "465265232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Goshen, IN

Sources for this page

Verify at the official NPI Registry.