Active NPI
Brenda Hill, FNP
- Family Nurse Practitioner
- Clinton, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R150616
- 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, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| R150616 | MD | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mediq Urgent Care PC | Current | Accepting new patients | |
| Mediq Urgent Care PC | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.