Brandi Lynn Knierim, DNP, FNP-C
Individual provider Active NPI Primary Care Nurse Practitioner · Glasgow, MT
NPI 1265078455 · NPPES record last updated Nov 21, 2019
Key facts
- NPI
- 1265078455
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Primary Care Nurse Practitioner 363LP2300X
- License
- NUR-APRN-LIC-147128 (MT)
- Practice address
- 24 Newton Ave
Glasgow, MT 59230 - Phone
- (406) 263-8444
- NPI assigned
- Nov 21, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Daniels Memorial Hospital
Practice addresses (Care Compare)
PO Box
Suite 400
Scobey, MT 59263
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
- 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 |
|---|---|---|---|---|
| I20210930000692 | MT | Practitioner - Nurse Practitioner | 3577960798 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NUR-APRN-LIC-147128 | MT | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daniels Memorial Hospital | Current |
Accepting new patients | |
| Daniels Memorial Hospital | Current |
Accepting new patients | |
| Daniels Memorial Hospital | Current |
Accepting new patients | |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | NUR-APRN-LIC-147128 | MT | Yes |
Addresses
Primary practice location
24 Newton Ave
Glasgow, MT 59230
Mailing address
24 Newton Ave
Glasgow, MT 59230
Phone (406) 263-8444
Other providers in Glasgow, MT
- Idea Telemedicine Services LLC
- Ideal Option, PLLC
- Jon C Kolstad OD, PC
- Jon Kolstad O D, P C
- Tori Rae Kaufman
- David Arthur Knierim
- Jon C Kolstad
- Keenan Nichole Kuckler
- Martin A Kurland
- James Alton Martin
All providers in Glasgow, MT · Primary Care Nurse Practitioner in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 21, 2019. 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.