Cathleen O'Neal Brazile, RN, FNP, BC
Individual provider Active NPI Family Nurse Practitioner · Belgrade, ME
NPI 1679680474 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1679680474
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- CNP161185 (ME)
- Practice address
- 4 Clement Way
Belgrade, ME 04917-4370 - Phone
- (207) 495-3323
- Fax
- (207) 495-3353
- NPI assigned
- Aug 25, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 14
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (4 enrollments) in TX, WI, MN, CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080602000407 | TX | Practitioner - Nurse Practitioner | 3779653886 | Reassigns benefits to 2 organizations |
| I20160201000275 | WI | Practitioner - Nurse Practitioner | 3779653886 | Reassigns benefits to 4 organizations |
| I20160322001883 | MN | Practitioner - Nurse Practitioner | 3779653886 | Reassigns benefits to 1 organization |
| I20230419002373 | CA | Practitioner - Nurse Practitioner | 3779653886 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner, Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaver Dam Community Hospitals Inc | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current |
Accepting new patients | |
| Beaver Dam Community Hospitals Inc | Current |
Accepting new patients | |
| Physician Senior Services, PLLC | Current |
Accepting new patients | |
| MCHS Hospitals Inc | Current |
Accepting new patients | |
| Marshfield Clinic Inc | Current |
Accepting new patients | |
| Signify Health Medical Associates, PLLC | Current |
Accepting new patients | |
| Bellin Memorial Hospital Inc | Current | Accepting new patients | |
| Bellin Memorial Hospital, Inc | Current |
Accepting new patients | |
| Signify Health Medical Associates of California, PC | Current |
Accepting new patients | |
| Beaver Dam Community Hospitals Inc | Current |
Accepting new patients | |
| Bellin Memorial Hospital Inc | Current |
Accepting new patients | |
| Physician Psych Services PLLC | Past |
Accepting new patients | |
| Whiteglove Medical Care - NJ, PC | Past | Accepting new patients |
Locations
818 W 7th St
Ste 930
Los Angeles, CA 90017
Phone (800) 525-9202
505 Montgomery St
Fl 10
San Francisco, CA 94111
Phone (503) 427-8095
1010 Dale St N
Saint Paul, MN 55117
Phone (612) 482-6610
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
860 Airport Fwy
Ste 525
Hurst, TX 76054
Phone (817) 522-1530
705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090
3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200
744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025
1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111
Interoperability endpoints
- cathleen.brazile@marshfieldclinichealthsystem.cernerdirect.com
- https://api.platform.athenahealth.com/1504/brand/5/csg/87/fhir/r4
- cathleen.brazile@731444467007492.direct.elationemr.com
- him@marshfieldclinichealthsystem.cernerdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | CNP161185 | ME | Yes |
Addresses
Primary practice location
4 Clement Way
Belgrade, ME 04917-4370
Mailing address
4 Clement Way
Belgrade, ME 04917-4370
Phone (207) 495-3323
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6849190161 | Other | DOT MEDICAL EXAMINER NUMBER | |
| 6770-33 | Other | WI | WISCONSIN APRN LICENSE |
| APN RX | Other | TX | 5563 |
| TX114678 | Other | TEXAS APRN NUMBER | |
| F0406060 | Other | AMERICAN ACADEMY OF N P'S | |
| 649921 | Other | TX | BOARD OF NURSING |
| 00193081 | Other | TX | DPS |
Other names
- Linda Cathleen Brazile
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | him@marshfieldclinichealthsystem.cernerdirect.com | Other |
Other providers in Belgrade, ME
- Becket Academy, Inc.
- Becket Family of Services
- Becket Family of Services
- Becket Maine Inc.
- Belgrade Counseling Center
- Lola J Case
- Robert Cianfarano
- Russ Claybrook
- Susan Lynn Claybrook
- Matthew K Colaluca
All providers in Belgrade, ME · Family Nurse Practitioner in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.