Individual provider Active NPI

Branda Irvin, FNP-C

  • Family Nurse Practitioner
  • Farmington, MO
National Provider Identifier
1346933819
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2017022379 Issued in MO
Practice address
618 Maple Valley Dr Ste a
Farmington, MO 63640-1976
Phone
(573) 756-3400
Fax
(573) 756-0800
NPI assigned
May 31, 2023
Last updated
Jul 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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 2017022379 MO Primary

Addresses

Primary practice location

618 Maple Valley Dr Ste a
Farmington, MO 63640-1976

Mailing address

618 Maple Valley Dr Ste a
Farmington, MO 63640-1976
Phone (573) 756-3400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20230808003941 MO Practitioner - Nurse Practitioner 2860854825 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ste Genevieve County Memorial HospitalGroup PAC ID 3274432802, shared by 9 NPIs, 74 clinicians
Iron County Hospital DistrictGroup PAC ID 0941207526, 25 clinicians
Mercy Clinic Pain Management LLCGroup PAC ID 5890922066, 24 clinicians

Practice addresses (Care Compare)

120 Plaza Dr Plaza Family Health Care
Ste Genevieve, MO 63670-1828
Phone (573) 883-1199

255 Boderman
Bloomsdale, MO 63627-9099
Phone 5738837720362

301 N Hwy 21
Pilot Knob, MO 63663-7862
Phone (573) 546-0184

575 Pine Dr
Ste Genevieve, MO 63670-1446
Phone (573) 883-7424

618 Maple Valley Dr
Suite D
Farmington, MO 63640-1976
Phone (573) 756-3400

753 Pointe Basse Dr
Ste Genevieve, MO 63670-1820
Phone (573) 883-2782

851 E 5TH St
Washington, MO 63090-3129

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
67.5 of 100Reported as group
Quality
53.06
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2017022379MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ste Genevieve County Memorial Hospital CurrentSince Jul 1, 2025 Accepting new patients
Iron County Hospital District CurrentSince Jun 18, 2024 Accepting new patients
Ste. Genevieve County Memorial Hospital CurrentSince Jul 1, 2025 Accepting new patients
Ste Genevieve County Memorial Hospital Current Accepting new patients
Ste Genevieve County Memorial Hospital CurrentSince Sep 1, 2025 Accepting new patients
Ste Genevieve County Memorial Hospital CurrentSince Sep 1, 2025 Accepting new patients
Mercy Hospital Jefferson CurrentSince Sep 1, 2025 Accepting new patients
Iron County Hospital District CurrentSince Jun 18, 2024 Accepting new patients
Mercy Hospital Jefferson CurrentSince Sep 1, 2025 Accepting new patients
Ste Genevieve County Memorial Hospital Current Accepting new patients
Ste Genevieve County Memorial Hospital Current Accepting new patients
Bi-State Cardiovascular Consultant PC CurrentSince Mar 20, 2024 Accepting new patients
Ste Genevieve County Memorial Hospital CurrentSince Sep 1, 2025 Accepting new patients
Ste Genevieve County Memorial Hospital CurrentSince Sep 1, 2025 Accepting new patients
Mercy Clinic Pain Management, LLC CurrentSince Sep 1, 2025 Accepting new patients
Mercy Clinic East Communities PastSince Aug 3, 2025 Accepting new patients

Locations

10 Arnold Mall
Arnold, MO 63010
Phone (314) 835-0001

15945 Clayton Rd
Ste 220CLAY
Ballwin, MO 63011
Phone (636) 239-8097

255 Boderman
Bloomsdale, MO 63627
Phone (573) 483-2727

1400 US Highway 61
Crystal Cty, MO 63028
Phone (636) 933-1111

611 W Main St
Fredericktown, MO 63645
Phone (573) 773-7061

2705 Dougherty Ferry Rd
Saint Louis, MO 63122
Phone (314) 394-3319

2705 Dougherty Ferry Rd
Ste 201
Saint Louis, MO 63122
Phone (314) 821-5461

120 Plaza Dr
Ste Genevieve, MO 63670
Phone (573) 883-1199

575 Pine Dr
Ste Genevieve, MO 63670
Phone (573) 883-7424

590 Pine Dr
Ste Genevieve, MO 63670
Phone (573) 883-4455

753 Pointe Basse Dr
Ste Genevieve, MO 63670
Phone (573) 883-2782

800 Ste Genevieve Dr
Ste Genevieve, MO 63670
Phone (573) 883-2571

851 E 5th St
Ste 226
Washington, MO 63090
Phone (636) 239-8097

Interoperability endpoints

  • Direct secure messaging: branda.irvin.1@16878.direct.athenahealth.com
  • Direct secure messaging: brandairvin@mhccaremail.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/GFDECD

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 3

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": "1685491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1346933819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 MAPLE VALLEY DR STE A",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636401976",
            "telephone_number": "573-756-3400",
            "fax_number": "573-756-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 MAPLE VALLEY DR STE A",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636401976",
            "telephone_number": "573-756-3400",
            "fax_number": "573-756-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRVIN",
        "first_name": "BRANDA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-31",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2017022379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, MO

Sources for this page

Verify at the official NPI Registry.