Individual provider Active NPI

Brandi Shay Cecil, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Zionsville, IN
National Provider Identifier
1578299533
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
71015572A Issued in IN
Practice address
10801 N Michigan Rd Ste 240
Zionsville, IN 46077-7845
Phone
(216) 468-5000
NPI assigned
Jul 30, 2022
Last updated
Oct 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 71015572A IN Primary
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatric/Mental Health Registered Nurse 163WP0808X 1161738 KY

Addresses

Primary practice location

10801 N Michigan Rd Ste 240
Zionsville, IN 46077-7845

Mailing address

10801 N Michigan Rd Ste 240
Zionsville, IN 46077-7845
Phone (502) 460-7127

Other practice location 1

204 E Market St
Louisville, KY 40202-1218
Phone (502) 588-4340

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20241119000291 IN Practitioner - Nurse Practitioner 9133654858 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
Telehealth
Offers telehealth services
Group practices
Midwest Behavioral Health LLCGroup PAC ID 4587834874, 132 clinicians

Practice addresses (Care Compare)

10801 N Michigan Rd
Suite 240
Zionsville, IN 46077-7845
Phone (317) 558-0630

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1161738KYMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Behavioral Health LLC CurrentSince Oct 7, 2024 Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

7300 E Indiana St
Ste 103
Evansville, IN 47715
Phone (812) 401-8008

10801 N Michigan Rd
Ste 240
Zionsville, IN 46077
Phone (317) 558-0630

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.brandicecil@140099.advancedmd-direct.com

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, 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": "1659139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1578299533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10801 N MICHIGAN RD STE 240",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460777845",
            "telephone_number": "502-460-7127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10801 N MICHIGAN RD STE 240",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460777845",
            "telephone_number": "216-468-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "204 E Market St",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402021218",
            "country_code": "US",
            "telephone_number": "502-588-4340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CECIL",
        "first_name": "BRANDI",
        "middle_name": "SHAY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-30",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71015572A",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "KY",
            "license": "1161738",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zionsville, IN

Sources for this page

Verify at the official NPI Registry.