Individual provider Active NPI

Brandi Nicole Mulryan, APRN/WHNP-BC

  • Women's Health Nurse Practitioner
  • Mission, KS
National Provider Identifier
1295349306
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
53-79667-082 Issued in KS
Practice address
6299 Nall Ave Ste 101
Mission, KS 66202-3552
Phone
(913) 456-3922
NPI assigned
Sep 4, 2020
Last updated
Sep 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 53-79667-082 KS Primary

Addresses

Primary practice location

6299 Nall Ave Ste 101
Mission, KS 66202-3552

Mailing address

5318 Brownridge Dr
Shawnee, KS 66218-9213
Phone (913) 456-3922

Other names 1

  • Brandi Nicole Coon Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200925000305 KS Practitioner - Nurse Practitioner 6204255276 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
97.5 of 100Reported as group
Quality
95
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53-79667-082KSMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Juan C. Nosti MD PA PastSince Sep 6, 2020 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1599177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1295349306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5318 BROWNRIDGE DR",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662189213",
            "telephone_number": "913-456-3922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6299 NALL AVE STE 101",
            "city": "MISSION",
            "state": "KS",
            "postal_code": "662023552",
            "telephone_number": "913-456-3922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULRYAN",
        "first_name": "BRANDI",
        "middle_name": "NICOLE",
        "credential": "APRN/WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-04",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "KS",
            "license": "53-79667-082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRANDI",
            "last_name": "COON",
            "middle_name": "NICOLE",
            "credential": "APRN/WHNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mission, KS

Sources for this page

Verify at the official NPI Registry.