Individual provider Active NPI

Brenda K Fish

  • Nurse Practitioner
  • Midlothian, VA
National Provider Identifier
1447638325
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024190494 Issued in VA
Practice address
230 Browns Way Rd
Midlothian, VA 23114-9501
Phone
(804) 419-9101
NPI assigned
May 12, 2015
Last updated
Mar 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024190494 VA Primary
Gerontology Nurse Practitioner 363LG0600X 0024190494 VA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.17222 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024190494 VA

Addresses

Primary practice location

230 Browns Way Rd
Midlothian, VA 23114-9501

Mailing address

11986 Dolt Rd
Delphos, OH 45833-8952
Phone (419) 235-3801

Other practice location 1

2440 Baton Rouge
Lima, OH 45805-5104
Phone (419) 235-3801

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150811004636 OH Practitioner - Nurse Practitioner 0244545820 Reassigns benefits to 2 organizations
I20250411001516 VA Practitioner - Nurse Practitioner 0244545820 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alcove Ventures LLCGroup PAC ID 1456669605, 50 clinicians
Legacy Care Aco LLCGroup PAC ID 3274996426, 36 clinicians
Legacy Care LLCGroup PAC ID 0042458200, 42 clinicians

Practice addresses (Care Compare)

3567 Reserve Commons Dr
Suite 100
Medina, OH 44256-5344
Phone (330) 536-3746

7600 Autumn Park Way
Mechanicsville, VA 23116-3868
Phone (804) 730-0009

780 Lynnhaven Pkwy
Suite 400
Virginia Beach, VA 23452-7332
Phone (757) 536-2246

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024190494VAMDNurse Practitioner
APRN.CNP.17222OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alcove Ventures LLC Psychiatric/Mental Health CurrentSince May 8, 2024 Accepting new patients
Mindcare Solutions PC CurrentSince Mar 1, 2025 Accepting new patients
Mercy Health Physicians Lima Specialty Care LLC Nurse Practitioner CurrentSince Sep 1, 2020 Accepting new patients
Legacy Care Aco LLC Nurse Practitioner CurrentSince Feb 1, 2026 Accepting new patients
Legacy Care LLC Nurse Practitioner CurrentSince Feb 1, 2026 Accepting new patients
Mindcare Solutions PC CurrentSince Mar 1, 2025 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

10603 Detroit Ave
Cleveland, OH 44102
Phone (216) 226-0282

3224 Jarvis Rd
Lima, OH 45807
Phone (419) 996-5757

770 W High St
Ste 450
Lima, OH 45801
Phone (419) 996-5069

830 W High St
Ste 390
Lima, OH 45801
Phone (419) 995-4960

3567 Reserve Commons Dr
Ste 100
Medina, OH 44256
Phone (330) 664-9250

7600 Autumn Park Way
Mechanicsvlle, VA 23116
Phone (804) 730-0009

4414 Pheasant Ridge Rd
Roanoke, VA 24014
Phone (330) 319-4240

780 Lynnhaven Pkwy
Ste 400
Virginia Beach, VA 23452
Phone (201) 581-3411

Organizations & group practices 8

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": "1431388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1447638325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11986 DOLT RD",
            "city": "DELPHOS",
            "state": "OH",
            "postal_code": "458338952",
            "telephone_number": "419-235-3801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 BROWNS WAY RD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231149501",
            "telephone_number": "804-419-9101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2440 Baton Rouge",
            "address_purpose": "LOCATION",
            "city": "Lima",
            "state": "OH",
            "postal_code": "458055104",
            "country_code": "US",
            "telephone_number": "419-235-3801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FISH",
        "first_name": "BRENDA",
        "middle_name": "K",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-12",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024190494",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "VA",
            "license": "0024190494",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.17222",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024190494",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

Verify at the official NPI Registry.