Individual provider Active NPI

Brenda Hill, FNP

  • Family Nurse Practitioner
  • Clinton, MD
National Provider Identifier
1376058412
Registry record updated Dec 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R150616 Issued in MD
Practice address
7801 Old Branch Ave Ste 409
Clinton, MD 20735-1644
Phone
(301) 868-7121
Fax
(301) 877-1934
NPI assigned
Dec 12, 2017
Last updated
Dec 12, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2017

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 R150616 MD Primary

Addresses

Primary practice location

7801 Old Branch Ave Ste 409
Clinton, MD 20735-1644

Mailing address

9681 Bergamont CT
Waldorf, MD 20603-5701
Phone (301) 792-2411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20231107000147 NC Practitioner - Nurse Practitioner 8022370618 Reassigns benefits to 1 organization

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
Mediq Urgent Care PCGroup PAC ID 9133422306, 11 clinicians

Practice addresses (Care Compare)

12201 N NC Hwy 150
Suite 11
Winston Salem, NC 27127-9731
Phone (336) 738-1691

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R150616MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mediq Urgent Care PC CurrentSince Sep 30, 2023 Accepting new patients
Mediq Urgent Care PC CurrentSince Sep 30, 2023 Accepting new patients

Locations

5718 W Gate City Blvd
Greensboro, NC 27407
Phone (336) 738-1691

1912 Eastchester Dr
Ste 302
High Point, NC 27265
Phone (336) 438-2260

12201 N NC Highway 150
Ste 11
Winston Salem, NC 27127
Phone (336) 738-1691

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": "1513036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513036800000",
    "number": "1376058412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9681 BERGAMONT CT",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206035701",
            "telephone_number": "301-792-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7801 OLD BRANCH AVE STE 409",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207351644",
            "telephone_number": "301-868-7121",
            "fax_number": "301-877-1934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "BRENDA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-12",
        "last_updated": "2017-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R150616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MD

Sources for this page

Verify at the official NPI Registry.