Individual provider Active NPI

Brandy N Hauser, APRN

  • Family Nurse Practitioner
  • Port Charlotte, FL
National Provider Identifier
1558023028
Registry record updated Oct 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11015897 Issued in FL
Practice address
262 Halloran St
Port Charlotte, FL 33953-3600
Phone
(941) 223-2695
NPI assigned
Oct 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11015897 FL Primary

Addresses

Primary practice location

262 Halloran St
Port Charlotte, FL 33953-3600

Mailing address

262 Halloran St
Port Charlotte, FL 33953-3600
Phone (941) 223-2695

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20220218001169 FL Practitioner - Nurse Practitioner 3678967502 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Morningstar Medical GroupGroup PAC ID 5991234874, 2 clinicians
Herman Gleicher MD PAGroup PAC ID 7315034568, 4 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

1435 Collingswood Blvd
Unit B
Port Charlotte, FL 33948-1148
Phone (941) 280-1020

21298 Olean Blvd
Port Charlotte, FL 33952-6705
Phone (941) 629-1181

2370 Harbor Blvd
Port Charlotte, FL 33952-5024
Phone (941) 624-5966

2400 Harbor Blvd
Port Charlotte, FL 33952-5038

2500 Harbor Blvd
Port Charlotte, FL 33952-5000
Phone (941) 766-4122

7374 San Casa Dr
Englewood, FL 34224-8842
Phone (941) 417-5064

Hospital & facility affiliations

  • Coastal Breeze Home Health LLC Home health agency, Sarasota, FL, CCN 687159
  • Trilogy Home Healthcare Home health agency, Sarasota, FL, CCN 109371
  • Amedisys Home Health Home health agency, Venice, FL, CCN 107522
  • HCA Florida Healthcare at Home Home health agency, PT Charlotte, FL, CCN 108013
  • Amedisys Home Health Home health agency, Port Charlotte, FL, CCN 108270
  • Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087
  • HCA Florida Fawcett Hospital Hospital, Port Charlotte, FL, CCN 100236

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11015897FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Morningstar Medical Group CurrentSince Oct 14, 2024 Accepting new patients
Herman Gleicher MD PA CurrentSince Jan 3, 2022 Accepting new patients

Locations

1435 Collingswood Blvd
Unit B
Pt Charlotte, FL 33948
Phone (941) 280-1020

2500 Harbor Blvd
Pt Charlotte, FL 33952
Phone (941) 766-4122

2400 Harbor Blvd
Ste 4
Pt Charlotte, FL 33952
Phone (941) 273-3611

Interoperability endpoints

  • Direct secure messaging: brandy.hauser@977759551160324.direct.elationemr.com
  • Direct secure messaging: brandy.hauser@552080087056388.direct.elationemr.com

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 and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1633996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1558023028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 HALLORAN ST",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339533600",
            "telephone_number": "941-223-2695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 HALLORAN ST",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339533600",
            "telephone_number": "941-223-2695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUSER",
        "first_name": "BRANDY",
        "middle_name": "N",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-12",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11015897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

Verify at the official NPI Registry.