Active NPI
Dana Brantley, APN
- Adult Health Nurse Practitioner
- Meridian, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 903935
- Practice address
- 5002 Highway 39 N BLDG C
Meridian, MS 39301-1078 - Phone
- (601) 385-9111
- Fax
- (662) 328-1507
- NPI assigned
- Oct 28, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP127550 | TX | |
| Adult Health Nurse Practitioner | 363LA2200X | 903935 | MS | Primary |
Addresses
Primary practice location
5002 Highway 39 N BLDG C
Meridian, MS 39301-1078
Mailing address
670 Leigh Dr
Columbus, MS 39705-3014
Phone (662) 328-1012
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 149328 | Other | MO | MO LICENSE NUMBER |
| 364281101 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090415000679 | MO | Practitioner - Nurse Practitioner | 4880741594 | Reassigns benefits to 1 organization |
| I20200513001452 | MS | Practitioner - Nurse Practitioner | 4880741594 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- SSM Medical Group Inc
Practice addresses (Care Compare)
12277 De Paul Dr
Suite 500
Bridgeton, MO 63044-2540
Phone (314) 291-8824
Hospital & facility affiliations
- SSM Health Depaul Hospital St Louis
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 903935 | MS | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Columbus Orthopaedic Clinic, P.a. | Current | Accepting new patients | |
| The Columbus Orthopaedic Clinic, P.a. | Current | Accepting new patients | |
| SSM Medical Group, Inc. | Current | Accepting new patients | |
| SSM Medical Group Inc. | Current | Accepting new patients | |
| SSM St. Charles Clinic Medical Group, Inc. | Past | Accepting new patients | |
| SSM Health Care St. Louis | Past | Accepting new patients | |
| The Columbus Orthopaedic Clinic, P.a. | Past | Accepting new patients |
Locations
12277 De Paul Dr
Ste 500
Bridgeton, MO 63044
1551 Wall St
Ste 310
Saint Charles, MO 63303
Phone (636) 669-2268
1035 Bellevue Ave
Ste 500
Saint Louis, MO 63117
Phone (314) 647-1115
441 N Kirkwood Rd
Saint Louis, MO 63122
Phone (314) 687-2716
670 Leigh Dr
Columbus, MS 39705
Phone (662) 327-4540
5002 Highway 39 N
Bldg C
Meridian, MS 39301
Phone (601) 385-9111
1003 Holland Ave
Ste 104
Philadelphia, MS 39350
Phone (601) 385-9111
1001 Holland Ave
Philadelphia, MS 39350
Phone (601) 663-1200
Organizations & group practices 14
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.
-
- Durable Medical Equipment & Medical Supplies
- Wentzville, MO
- NPI 1043518350
-
- Durable Medical Equipment & Medical Supplies
- Bridgeton, MO
- NPI 1053616110
-
- Durable Medical Equipment & Medical Supplies
- Saint Charles, MO
- NPI 1437573920
-
- Durable Medical Equipment & Medical Supplies
- Saint Charles, MO
- NPI 1447633557
-
- Durable Medical Equipment & Medical Supplies
- Bridgeton, MO
- NPI 1477564581
-
- Durable Medical Equipment & Medical Supplies
- Troy, MO
- NPI 1528503133
-
- Durable Medical Equipment & Medical Supplies
- Florissant, MO
- NPI 1194736116
-
- Durable Medical Equipment & Medical Supplies
- Starkville, MS
- NPI 1447028352
-
- Durable Medical Equipment & Medical Supplies
- Warrenton, MO
- NPI 1467997155
-
- Durable Medical Equipment & Medical Supplies
- Starkville, MS
- NPI 1356855852
Hospital & facility affiliations 1
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": "1225152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741564800000",
"number": "1649423237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "670 LEIGH DR",
"city": "COLUMBUS",
"state": "MS",
"postal_code": "397053014",
"telephone_number": "662-328-1012",
"fax_number": "662-328-1507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5002 HIGHWAY 39 N BLDG C",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393011078",
"telephone_number": "601-385-9111",
"fax_number": "662-328-1507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANTLEY",
"first_name": "DANA",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-28",
"last_updated": "2025-03-10",
"certification_date": "2025-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "AP127550",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MS",
"license": "903935",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MO LICENSE NUMBER",
"identifier": "149328",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "364281101",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Meridian, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.