Brittany Moist, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

209.015217 Issued in IL

Practice address

702 W Chestnut St
Bloomington, IL 61701-2814

Phone

(309) 557-1400

NPI assigned

Jan 2, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Chestnut Health Systems Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Bloomington, IL
  • NPI 1366431686
  Medicare reassignment NPD
• City Medical Partners PA

  • Geriatric Medicine (Internal Medicine) Physician
  • Novi, MI
  • NPI 1285095315

  IL

  Medicare reassignment NPD
• Sigma Haggerty Medical PA

  • Geriatric Medicine (Internal Medicine) Physician
  • Novi, MI
  • NPI 1699136655

  IL

  Medicare reassignment NPD
• Ultacare Medical PLLC

  dba Dr. Hasemeier & Associates

  • Family Medicine Physician
  • New Tazewell, TN
  • NPI 1225141492

  IL, Psychiatric/Mental Health

  Medicare reassignment NPD
• Chestnut Health Systems Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wood River, IL
  • NPI 1235941311
  NPD
• Chestnut Health Systems, Inc

  dba Chestnut Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Bloomington, IL
  • NPI 1790055952
  NPD (past)

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

{
    "created_epoch": "1483315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1487199311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 POPLAR ST",
            "city": "HIGHLAND",
            "state": "IL",
            "postal_code": "622491658",
            "telephone_number": "618-654-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 W CHESTNUT ST",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617012814",
            "telephone_number": "309-557-1400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3900 Stearns Ave",
            "address_purpose": "LOCATION",
            "city": "Granite City",
            "state": "IL",
            "postal_code": "620404154",
            "country_code": "US",
            "telephone_number": "800-979-9595",
            "fax_number": "248-662-9845",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "821 Poplar St",
            "address_purpose": "LOCATION",
            "city": "Highland",
            "state": "IL",
            "postal_code": "622491658",
            "country_code": "US",
            "telephone_number": "618-654-1281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOIST",
        "first_name": "BRITTANY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-02",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IL",
            "license": "209015217",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209.015217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Ladon Mitchell, DC
• Jerome Mithcell, DDS
• Savannah Miyler
• Adam Otto Moeller, D.C.
• Shelby Renee Mohr, APRN, CNP
• Kimberly D Molitor
• Chalermlarp Mongkolsmai, M.D.
• Dhanasarn Mongkolsmai, M.D.
• Lisa Monroy
• Hannah Montague, LCSW

• Psychiatric/Mental Health Nurse Practitioner in Bloomington, IL
• Providers in Bloomington, IL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.