Individual provider Active NPI

Caitlyn Branstutter, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Somerset, KY
National Provider Identifier
1689466906
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1165879 Issued in KY
Practice address
200 Belmont Ave
Somerset, KY 42501-2419
Phone
(606) 687-2038
NPI assigned
May 21, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1165879 KY Primary

Addresses

Primary practice location

200 Belmont Ave
Somerset, KY 42501-2419

Mailing address

200 Belmont Ave
Somerset, KY 42501-2419
Phone (606) 687-2038

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20250630003347 KY Practitioner - Nurse Practitioner 9133632490 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellsprings Wellness LLCGroup PAC ID 2466780754, 7 clinicians
Unbridled Healthcare System LLCGroup PAC ID 3274919097, 4 clinicians

Practice addresses (Care Compare)

200 Belmont Ave
Somerset, KY 42501-2419
Phone (606) 687-2038

222 N Main St
London, KY 40741-1367
Phone (606) 770-3014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1165879KYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspring Counseling Ky Psychiatric/Mental Health CurrentSince Jun 12, 2025 Accepting new patients
Wellsprings Wellness LLC Psychiatric/Mental Health CurrentSince Jun 12, 2025 Accepting new patients

Locations

200 Belmont Ave
Somerset, KY 42501
Phone (606) 678-2038

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1747785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1689466906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BELMONT AVE",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425012419",
            "telephone_number": "606-687-2038",
            "fax_number": "606-200-3654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BELMONT AVE",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425012419",
            "telephone_number": "606-687-2038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANSTUTTER",
        "first_name": "CAITLYN",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-05-21",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "1165879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, KY

Sources for this page

Verify at the official NPI Registry.