Individual provider Active NPI

Brandi Zey, APRN-CNP

  • Family Nurse Practitioner
  • Boonville, MO
National Provider Identifier
1679170047
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2020033722 Issued in MO
Practice address
606 E Spring St
Boonville, MO 65233-1523
Phone
(660) 882-3955
Fax
(660) 882-3972
NPI assigned
Oct 7, 2020
Last updated
Feb 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2020033722 MO Primary
Registered Nurse 163W00000X 2003031307 MO

Addresses

Primary practice location

606 E Spring St
Boonville, MO 65233-1523

Mailing address

606 E Spring St
Boonville, MO 65233-1523
Phone (660) 882-3955

Other names 1

  • Brandi Zey-Thacker Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20210712002511 MO Practitioner - Nurse Practitioner 9032511183 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boone Physician Services LLCGroup PAC ID 6507090644, 243 clinicians

Practice addresses (Care Compare)

606 E Spring St
Boonville, MO 65233-1523
Phone (660) 882-3955

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2003031307MOMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Boone Physician Services, LLC CurrentSince Aug 30, 2021 Accepting new patients

Locations

606 E Spring St
Boonville, MO 65233
Phone (573) 777-4700

1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000

1705 E Broadway
Ste 280
Columbia, MO 65201
Phone (573) 815-7119

Interoperability endpoints

  • Direct secure messaging: brandi.zey-thacker@115443077021700.direct.elationemr.com
  • Direct secure messaging: brandizeythacker@mhccaremail.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.

Hospital & facility affiliations 4

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": "1602028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1679170047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 E SPRING ST",
            "city": "BOONVILLE",
            "state": "MO",
            "postal_code": "652331523",
            "telephone_number": "660-882-3955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 E SPRING ST",
            "city": "BOONVILLE",
            "state": "MO",
            "postal_code": "652331523",
            "telephone_number": "660-882-3955",
            "fax_number": "660-882-3972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEY",
        "first_name": "BRANDI",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-07",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2020033722",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2003031307",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRANDI",
            "last_name": "ZEY-THACKER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boonville, MO

Sources for this page

Verify at the official NPI Registry.