Individual provider Active NPI

Brandie Hamlen, ARNP

  • Family Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1598272189
Registry record updated Jan 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
23695 Issued in TN
Practice address
6141 Shallowford Rd
Chattanooga, TN 37421-1616
Phone
(423) 899-2700
NPI assigned
Jan 4, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2018

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 23695 TN Primary

Addresses

Primary practice location

6141 Shallowford Rd
Chattanooga, TN 37421-1616

Mailing address

3060 County Road 97
Flat Rock, AL 35966-5615
Phone (256) 608-8004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20180718001945 TN Practitioner - Nurse Practitioner 6305193640 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chattanooga Skin and Cancer ClinicGroup PAC ID 9032386354, 13 clinicians

Practice addresses (Care Compare)

3891 Adkisson Dr NW
Cleveland, TN 37312-2819
Phone (423) 479-8648

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as apm
Quality
92.6
Promoting interoperability
93.23
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23695TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chattanooga Skin & Cancer Clinic CurrentSince Jan 1, 2018 Accepting new patients

Locations

6141 Shallowford Rd
Chattanooga, TN 37421
Phone (423) 498-2000

6061 Shallowford Rd
Chattanooga, TN 37421
Phone (423) 899-2700

3891 Adkisson Dr NW
Cleveland, TN 37312
Phone (423) 479-8648

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.

Hospital & facility affiliations 3

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": "1515024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515024000000",
    "number": "1598272189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3060 COUNTY ROAD 97",
            "city": "FLAT ROCK",
            "state": "AL",
            "postal_code": "359665615",
            "telephone_number": "256-608-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6141 SHALLOWFORD RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374211616",
            "telephone_number": "423-899-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMLEN",
        "first_name": "BRANDIE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-04",
        "last_updated": "2018-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "23695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.