Brandon James Herres, BSN CRNA

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

35187 Issued in AK

Practice address

401 W Pennsylvania Ave
Anaconda, MT 59711

Phone

(406) 563-8500

Fax

(406) 563-8694

NPI assigned

Dec 2, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA, OR2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northwest Medical Foundation of TillamookGroup PAC ID 5092619569, 80 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventist Health Tillamook Hospital, Tillamook, OR, CCN 381317

Merit-based Incentive Payment System (MIPS)

Final score

83.81 of 100Reported as group

Quality

71.23

Promoting interoperability

88

Improvement activities

40

Cost

81.9

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor on Science - Nursing, Certified Registered Nurse

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.

• Northwest Medical Foundation of Tillamook

  dba Adventist Health Tillamook

  • Critical Access Hospital
  • Tillamook, OR
  • NPI 1871575225

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Premier Anesthesia of Richland a Division of Premier Anesthesia, LLC

  dba Premier Anesthesia of Richland

  • Anesthesiology Physician
  • Richland, WA
  • NPI 1013940253

  Single Specialty

  Medicare reassignment NPD
• Northwest Medical Foundation of Tillamook

  dba Adventist Health Medical Office - Sheridan

  • Critical Access Hospital
  • Sheridan, OR
  • NPI 1053873919
  NPD
• Northwest Medical Foundation of Tillamook

  dba Adventist Health Tillamook Medical Group - Vernonia

  • Rural Health Clinic/Center
  • Vernonia, OR
  • NPI 1285164921
  NPD

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

• Northwest Medical Foundation of Tillamook

  dba Adventist Health Tillamook

  • Land Ambulance
  • Tillamook, OR
  • NPI 1508849407

  Hospital

  Care Compare affiliation
• Northwest Medical Foundation of Tillamook

  dba Tillamook Medical Group Long Prairie Primary Care

  • Critical Access Hospital
  • Tillamook, OR
  • NPI 1699146159
  Care Compare affiliation
• Northwest Medical Foundation of Tillamook

  dba Adventist Health/Tillamook Medical Group

  • Rural Health Clinic/Center
  • Tillamook, OR
  • NPI 1841451853

  Hospital

  Care Compare affiliation
• Northwest Medical Foundation of Tillamook

  dba Adventist Health Tillamook

  • Critical Access Hospital
  • Tillamook, OR
  • NPI 1871575225
  Care Compare affiliation

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

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551916800000",
    "number": "1568764173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W PENNSYLVANIA AVE",
            "city": "ANACONDA",
            "state": "MT",
            "postal_code": "597111999",
            "telephone_number": "406-563-8500",
            "fax_number": "406-563-9694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W PENNSYLVANIA AVE",
            "city": "ANACONDA",
            "state": "MT",
            "postal_code": "59711",
            "telephone_number": "406-563-8500",
            "fax_number": "406-563-8694"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 S Woodworth Loop",
            "address_purpose": "LOCATION",
            "city": "Palmer",
            "state": "AK",
            "postal_code": "996458984",
            "country_code": "US",
            "telephone_number": "509-528-0311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERRES",
        "first_name": "BRANDON",
        "middle_name": "JAMES",
        "credential": "BSN CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-02",
        "last_updated": "2019-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AK",
            "license": "35187",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MT",
            "license": "73185",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1568764173",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelby Hare, DPT
• Daniel M Hartmann, MD
• Haley Headley
• Hearthstone, Inc.
• Craig Michael Hedval, LCPC
• Kaitlyn Heuberger, MD
• Regie Hill
• Carly Jean Hillenbrand, APRN
• Cassandra Rose Hindman, LCPC
• Adam Hocking

• Registered Nurse in Anaconda, MT
• Providers in Anaconda, MT by specialty
• Registered Nurse in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.