Individual provider Active NPI

Simranpreet K Brar, FNP

  • Family Nurse Practitioner
  • Fresno, CA
National Provider Identifier
1740008689
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95027038 Issued in CA
Practice address
2160 S Preuss Ave
Fresno, CA 93727-6161
NPI assigned
Sep 30, 2024
Last updated
Sep 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95027038 CA Primary

Addresses

Primary practice location

2160 S Preuss Ave
Fresno, CA 93727-6161

Mailing address

12505 S Willowgate LN
Plainfield, IL 60585-2371
Phone (209) 605-0085

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241106002225 CA Practitioner - Nurse Practitioner 4385178896
I20250505000812 IL Practitioner - Nurse Practitioner 4385178896 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vital Care Wound Solutions CoGroup PAC ID 8022523463, 7 clinicians
Global Wound Care Medical GroupGroup PAC ID 9335504539, 19 clinicians

Practice addresses (Care Compare)

1701 E Woodfield Rd
Suite 810
Schaumburg, IL 60173-5211
Phone (844) 484-9910

4001 W Devon Ave
Suite 300
Chicago, IL 60646-4538
Phone (312) 448-7701

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95027038CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Global Wound Care Medical Group CurrentSince Oct 14, 2024 Accepting new patients

Locations

5901 W Century Blvd
Ste 750
Los Angeles, CA 90045
Phone (323) 843-2861

4640 Admiralty Way
Ste 420
Marina del Rey, CA 90292
Phone (424) 526-5151

180 Promenade Cir
Ste 300
Sacramento, CA 95834
Phone (916) 352-6232

4001 W Devon Ave
Ste 300
Chicago, IL 60646
Phone (312) 448-7701

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1740008689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12505 S WILLOWGATE LN",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605852371",
            "telephone_number": "209-605-0085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 S PREUSS AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937276161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAR",
        "first_name": "SIMRANPREET",
        "middle_name": "K",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-30",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95027038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.