Individual provider Active NPI

Brent Edward Mezger, FNP-C

  • Family Nurse Practitioner
  • Bloomington, IN
National Provider Identifier
1245744598
Registry record updated Mar 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.021975 Issued in OH
Practice address
1175 S College Mall Rd
Bloomington, IN 47401-6177
Phone
(812) 323-4301
NPI assigned
Nov 23, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2023

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 71007721A IN
Family Nurse Practitioner 363LF0000X APRN.CNP.021975 OH Primary

Addresses

Primary practice location

1175 S College Mall Rd
Bloomington, IN 47401-6177

Mailing address

2620 Elm Hill Pike
Nashville, TN 37214-3108
Phone (937) 369-8865

Other practice location 1

500 S Liberty Dr Ste 482
Bloomington, IN 47403-1924
Phone (812) 918-5907

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bmezger@direct.iuhealth.org 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
I20180109000886 IN Practitioner - Nurse Practitioner 7810256344 Reassigns benefits to 4 organizations

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
Little Clinic of in LLCGroup PAC ID 7719118447, 66 clinicians

Practice addresses (Care Compare)

1175 S College Mall Rd
Bloomington, IN 47401-6177
Phone (812) 323-4301

Merit-based Incentive Payment System (MIPS)

Final score
83.89 of 100Reported as group
Quality
67.99
Promoting interoperability
100
Improvement activities
40
Cost
78.32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN.CNP.021975OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Little Clinic of in LLC Family CurrentSince Dec 7, 2017 Accepting new patients
FC Indiana, LLC CurrentSince Nov 1, 2018 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Jan 1, 2025 Accepting new patients
FC Indiana, LLC CurrentSince Nov 1, 2018 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Jan 1, 2025 Accepting new patients

Locations

2418 16th St
Bedford, IN 47421
Phone (812) 278-3154

1175 S College Mall Rd
Bloomington, IN 47401
Phone (812) 323-4301

815 Highlander Point Dr
Floyds Knobs, IN 47119
Phone (812) 923-7146

1159 W Jefferson St
Ste 204
Franklin, IN 46131

4152 W State Road 56
Hanover, IN 47243
Phone (812) 762-4510

5350 E Thompson Rd
Indianapolis, IN 46237
Phone (317) 396-0814

1202 E Tipton St
Seymour, IN 47274
Phone (812) 627-4933

Interoperability endpoints

  • Direct secure messaging: brent.mezger@krogerhealth.eclinicaldirectplus.com
  • Direct secure messaging: bmezger@direct.iuhealth.org

Organizations & group practices 7

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1511395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677801600000",
    "number": "1245744598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 ELM HILL PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372143108",
            "telephone_number": "937-369-8865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 S COLLEGE MALL RD",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474016177",
            "telephone_number": "812-323-4301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 S Liberty Dr Ste 482",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "474031924",
            "country_code": "US",
            "telephone_number": "812-918-5907",
            "fax_number": "812-353-6888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEZGER",
        "first_name": "BRENT",
        "middle_name": "EDWARD",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-23",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71007721A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.021975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bmezger@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "500 S Liberty Dr Ste 482",
            "city": "Bloomington",
            "state": "IN",
            "country_code": "US",
            "postal_code": "474031924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

Verify at the official NPI Registry.