Individual provider Active NPI

Brandi Ogletree, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Philadelphia, MS
National Provider Identifier
1508549858
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R868567 Issued in MS
Practice address
1012 E Main St
Philadelphia, MS 39350-2308
Phone
(601) 389-7889
NPI assigned
Aug 11, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R868567 MS Primary

Addresses

Primary practice location

1012 E Main St
Philadelphia, MS 39350-2308

Mailing address

1012 E Main St
Philadelphia, MS 39350-2308
Phone (601) 389-7889

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20241127003615 MS Practitioner - Nurse Practitioner 0143755140 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
A Good Mind TooGroup PAC ID 2062891161, 3 clinicians

Practice addresses (Care Compare)

1012 E Main St
Philadelphia, MS 39350-2308
Phone (601) 416-0068

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R868567MSMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
A Good Mind Too Psychiatric/Mental Health CurrentSince Nov 1, 2024 Accepting new patients

Locations

1012 E Main St
Philadelphia, MS 39350
Phone (601) 389-7889

Organizations & group practices 1

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": "1691712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1508549858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 E MAIN ST",
            "city": "PHILADELPHIA",
            "state": "MS",
            "postal_code": "393502308",
            "telephone_number": "601-389-7889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 E MAIN ST",
            "city": "PHILADELPHIA",
            "state": "MS",
            "postal_code": "393502308",
            "telephone_number": "601-389-7889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGLETREE",
        "first_name": "BRANDI",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-11",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "R868567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, MS

Sources for this page

Verify at the official NPI Registry.