Brandie Marie Gillispie

Key facts

NPI

1710690607

Entity type

Individual (NPI type 1)

Primary specialty

Family Nurse Practitioner 363LF0000X

License

3018848 (KY)

Practice address

3046 Dolphin Dr Ste 100
Elizabethtown, KY 42701-7182

Phone

(270) 982-1400

NPI assigned

Jan 5, 2023

Sex

Female

Sole proprietor

No

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.

• Dolphin Hills Family Healthcare Family Nurse Practitioner · Elizabethtown, KY · NPI 1114596095
  Medicare reassignment NPD FAMILY · KY
• Kiosk Medicine Kentucky LLC Family Nurse Practitioner · Louisville, KY · NPI 1205885035
  Medicare reassignment NPD FAMILY · KY
• Southtown Psychiatry PLLC Psychiatry Physician · San Antonio, TX · NPI 1457167702
  Medicare reassignment CO · IN · OH

Medicare Care Compare profile

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

83.72 of 100 (group)

Quality

66.02

Promoting interoperability

100

Improvement activities

40

Cost

79.72

Medicare participation

Medicare fee-for-service enrollment

Enrolled (4 enrollments) in KY, IN, CO, OH

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24513/brand/1/csg/1/fhir/r4

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 5, 2023.

{
    "created_epoch": "1672876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1710690607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3046 DOLPHIN DR STE 100",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427017182",
            "telephone_number": "270-982-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3046 DOLPHIN DR STE 100",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427017182",
            "telephone_number": "270-982-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLISPIE",
        "first_name": "BRANDIE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-05",
        "last_updated": "2023-01-05",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3018848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, KY

• Coleen Renee Gibson, LMT
• Michelle Rene' Gibson, COTA
• Kawaljit Gill
• Misty G Gilley, FNP
• Leona Gwen Gilliam
• Marcella Amanda Gleason, D.M.D.
• Robert Cleveland Gleason, DMD
• Christopher J Godfrey, MD
• John A Godfrey, MD
• William J Godfrey, MD

All providers in Elizabethtown, KY · Family Nurse Practitioner in Kentucky