Individual provider Active NPI

Brandilyn Kay Chadwick, RN, FNPC

  • Family Nurse Practitioner
  • Paris, TX
National Provider Identifier
1245331792
Registry record updated Feb 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
625634 Issued in TX
Practice address
1055 Clarksville St Ste 130
Paris, TX 75460-0208
Phone
(903) 905-4945
Fax
(903) 905-4949
NPI assigned
Sep 26, 2006
Last updated
Feb 3, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 625634 TX Primary

Addresses

Primary practice location

1055 Clarksville St Ste 130
Paris, TX 75460-0208

Mailing address

1055 Clarksville Street
Suite 185
Paris, TX 75460
Phone (903) 905-4945

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20060111000824 TX Practitioner - Nurse Practitioner 7113940578 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
PRMC Healthcare Group, Inc.Group PAC ID 6406919901, 41 clinicians

Practice addresses (Care Compare)

1055 Clarksville St
Suite 130
Paris, TX 75460-0208
Phone (903) 495-4945

2870 Lewis LN
Paris, TX 75460-9380

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
PRMC Healthcare Group Inc CurrentSince Nov 1, 2010 Accepting new patients
PRMC Healthcare Group Inc CurrentSince Nov 1, 2010 Accepting new patients

Locations

1055 Clarksville St
Ste 130
Paris, TX 75460
Phone (469) 463-3353

1055 Clarksville St
Ste 185
Paris, TX 75460
Phone (903) 739-7461

2850 Lewis Ln
Ste 106
Paris, TX 75460
Phone (903) 737-1271

2870 Lewis Ln
Ste 220
Paris, TX 75460
Phone (903) 739-7830

Interoperability endpoints

  • Direct secure messaging: brandi.chadwick.1@1744.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517616000000",
    "number": "1245331792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 CLARKSVILLE STREET",
            "address_2": "SUITE 185",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "75460",
            "telephone_number": "903-905-4945",
            "fax_number": "903-905-4949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 CLARKSVILLE ST STE 130",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754600208",
            "telephone_number": "903-905-4945",
            "fax_number": "903-905-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHADWICK",
        "first_name": "BRANDILYN",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "RN, FNPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2018-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "625634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, TX

Sources for this page

Verify at the official NPI Registry.