Brittany J Brechtl, NP
Individual provider Active NPI Family Nurse Practitioner · Indianapolis, IN
NPI 1255823928 · NPPES record last updated Dec 23, 2024
Key facts
- NPI
- 1255823928
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 71008043A (IN)
- Practice address
- 550 University Blvd
Indianapolis, IN 46202 - Phone
- (317) 944-8304
- NPI assigned
- May 30, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Iu Health Medical Group LLC
Practice addresses (Care Compare)
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
Hospital & facility affiliations
- Indiana University Health
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180813002447 | IN | Practitioner - Nurse Practitioner | 7315295094 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28195063A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Surgeons, Inc. | Current |
Accepting new patients | |
| Iu Health Medical Group, LLC | Family | Current |
Accepting new patients |
| Major Hospital | Past | Accepting new patients |
Locations
7630 Solutions Ctr
Chicago, IL 60677
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
550 University Blvd
Ste 500
Indianapolis, IN 46202
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
550 University Blvd
Indianapolis, IN 46202
Phone (217) 274-5000
950 N Meridian St
Ste 500
Indianapolis, IN 46204
Phone (317) 962-4941
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 28195063A | IN | |
| Family Nurse Practitioner | 363LF0000X | 71008043A | IN | Yes |
Addresses
Primary practice location
550 University Blvd
Indianapolis, IN 46202
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000001190428 | Other | IN | ANTHEM PTAN |
| 000001190430 | Other | IN | ANTHEM PTAN |
| 300017038 | Medicaid | IN |
Other names
- Brittany J Martin
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bmartin9@direct.iuhealth.org |
Other providers in Indianapolis, IN
- Patrick E Brearton
- Khadijah K Breathett
- Breathing Space, Inc
- Patricia Breaziel
- Jennifer Brechbuhl
- Jeffrey D Breckenridge
- Francine D Breckler
- Kristin Elizabeth Bredhold
- Tammy Bree
- Whitney Breeding
All providers in Indianapolis, IN · Family Nurse Practitioner in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 23, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.