Individual provider Active NPI

Diana Kathleen Brosius, MSN, APRN, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Berea, KY
National Provider Identifier
1407598048
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3018471 Issued in KY
Practice address
292 Glades Rd Ste 8
Berea, KY 40403-1368
Phone
(859) 428-7862
Fax
(859) 999-7869
NPI assigned
Apr 13, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X 1127069 KY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3018471 KY Primary

Addresses

Primary practice location

292 Glades Rd Ste 8
Berea, KY 40403-1368

Mailing address

946A Southern Hills Dr
Richmond, KY 40475-3410
Phone (859) 582-9897

Other practice location 1

1000 South Limestone
Lexington, KY 40536-0001
Phone (859) 323-5865

Other practice location 2

451 Big Hill Ave Ste 5
Richmond, KY 40475-2596
Phone (859) 428-7862

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20230106000550 KY Practitioner - Nurse Practitioner 4789054883 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, shared by 31 NPIs, 2,431 clinicians

Practice addresses (Care Compare)

107 Meridian Way
Suite 200
Richmond, KY 40475-2878
Phone (859) 624-6366

1110 Lancaster Rd
Suite 3
Richmond, KY 40475-8792
Phone (859) 623-3576

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
1127069KYMDCritical Care Medicine Registered Nurse
3018471KYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Jan 27, 2024 Accepting new patients
Parsons Counseling, LLC Psychiatric/Mental Health CurrentSince Sep 1, 2022 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Nov 7, 2023 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Nov 7, 2023 Accepting new patients

Locations

292 Glades Rd
Ste 8
Berea, KY 40403
Phone (859) 428-7862

96 Future Dr
Corbin, KY 40701

187 Farra Dr
Lancaster, KY 40444
Phone (859) 792-1766

4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390

1110 Lancaster Rd
Ste 3
Richmond, KY 40475
Phone (606) 623-3276

107 Meridian Way
Ste 200
Richmond, KY 40475
Phone (859) 624-6366

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1649808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1407598048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "946A SOUTHERN HILLS DR",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404753410",
            "telephone_number": "859-582-9897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "292 GLADES RD STE 8",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404031368",
            "telephone_number": "859-428-7862",
            "fax_number": "859-999-7869"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 South Limestone",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405360001",
            "country_code": "US",
            "telephone_number": "859-323-5865",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "451 Big Hill Ave Ste 5",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "KY",
            "postal_code": "404752596",
            "country_code": "US",
            "telephone_number": "859-428-7862",
            "fax_number": "859-999-7869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROSIUS",
        "first_name": "DIANA",
        "middle_name": "KATHLEEN",
        "credential": "MSN, APRN, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-13",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "KY",
            "license": "1127069",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3018471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berea, KY

Sources for this page

Verify at the official NPI Registry.