Individual provider Active NPI

Heidy Rebekah Brillhart, APRN

  • Family Nurse Practitioner
  • Elkhart, KS
National Provider Identifier
1699002253
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-76427-042 Issued in KS
Practice address
450 Morton Street
Elkhart, KS 67950
Phone
(866) 498-7922
Fax
(620) 491-9009
NPI assigned
Nov 3, 2009
Last updated
Apr 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 53-76427-042 KS Primary
Family Nurse Practitioner 363LF0000X 0072633 OK
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 53-76427-042 KS

Addresses

Primary practice location

450 Morton Street
Elkhart, KS 67950

Mailing address

HC 2 Box 6
Keyes, OK 73947-9609
Phone (866) 498-7922

Other practice location 1

411 Sunset
Elkhart, KS 67950-0460
Phone (620) 697-2175

Other identifiers 3

IdentifierTypeStateIssuer
30003993510001MedicaidKS
201108100AMedicaidKS
200271400AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20150212000711 KS Practitioner - Nurse Practitioner 0749311512 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Morton County HospitalGroup PAC ID 5395644637, shared by 5 NPIs, 17 clinicians
Main Street Clinic LLCGroup PAC ID 4880197912, 2 clinicians

Practice addresses (Care Compare)

411 Sunset St
Elkhart, KS 67950-5001
Phone (620) 697-2141

450 Morton St
Elkhart, KS 67950-0000
Phone (866) 498-7922

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0072633OKMDFamily Nurse Practitioner
53-76427-042KSMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Morton County Hospital CurrentSince Feb 2, 2015 Accepting new patients
Morton County Hospital CurrentSince Feb 2, 2015 Accepting new patients
Morton County Hospital Current Accepting new patients
Main Street Clinic LLC Family CurrentSince Aug 14, 2025 Accepting new patients
Morton County Hospital Past Accepting new patients
Panhandle Womens Center P L L C Past Accepting new patients
Morton County Hospital Past Accepting new patients

Locations

411 Sunset St
Elkhart, KS 67950
Phone (620) 697-2141

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7659/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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": "1257206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1699002253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 2 BOX 6",
            "city": "KEYES",
            "state": "OK",
            "postal_code": "739479609",
            "telephone_number": "866-498-7922",
            "fax_number": "620-491-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 MORTON STREET",
            "city": "ELKHART",
            "state": "KS",
            "postal_code": "67950",
            "telephone_number": "866-498-7922",
            "fax_number": "620-491-9009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "411 Sunset",
            "address_purpose": "LOCATION",
            "city": "Elkhart",
            "state": "KS",
            "postal_code": "679500460",
            "country_code": "US",
            "telephone_number": "620-697-2175",
            "fax_number": "620-697-2185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRILLHART",
        "first_name": "HEIDY",
        "middle_name": "REBEKAH",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-03",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-76427-042",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "0072633",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "53-76427-042",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30003993510001",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201108100A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200271400A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhart, KS

Sources for this page

Verify at the official NPI Registry.