Individual provider Active NPI

Brandie Lyn McGuire, MSN, APRN, WHNP-BC

  • Women's Health Nurse Practitioner
  • Centerville, OH
National Provider Identifier
1740768340
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
340195 Issued in OH
Practice address
7756 Washington Village Dr Ste 135
Centerville, OH 45459
Phone
(937) 531-0190
Fax
(937) 531-0191
NPI assigned
Aug 6, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LW0102X 340195 OH Primary

Addresses

Primary practice location

7756 Washington Village Dr Ste 135
Centerville, OH 45459

Mailing address

1 Prestige PL Ste 550
Miamisburg, OH 45342-6115
Phone (937) 762-1310

Other practice location 1

2937 Abby Ln
Lebanon, OH 45036-7313
Phone (513) 594-9458

Other practice location 2

3700 Southern Blvd Ste 401
Kettering, OH 45429-1226
Phone (855) 500-2873

Other identifiers 2

IdentifierTypeStateIssuer
H721940OtherOHMEDICARE
0355661MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address bmcguire660525@direct.ketteringhealth.org
FHIR URL https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20190612003075 OH Practitioner - Nurse Practitioner 4587997101 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kettering Independent Medical Group IncGroup PAC ID 3173710936, 699 clinicians

Practice addresses (Care Compare)

4403 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 433-5309

4441 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 298-7751

6147 State Route 122
Middletown, OH 45005-5201

6147 W State Route 122
Suite 200
Middletown, OH 45005-5201
Phone (937) 294-4356

7756 Washington Village Dr
Suite 135
Centerville, OH 45459-3999
Phone (937) 425-4137

8701 Old Troy Pike
Huber Heights, OH 45424-1053

Hospital & facility affiliations

  • Kettering Health Dayton Hospital, Dayton, OH, CCN 360133
  • Kettering Health Main Campus Hospital, Kettering, OH, CCN 360079
  • Kettering Health Miamisburg Hospital, Miamisburg, OH, CCN 360239
  • Soin Medical Center Hospital, Beaver Creek, OH, CCN 360360

Merit-based Incentive Payment System (MIPS)

Final score
81.34 of 100Reported as group
Quality
63.67
Promoting interoperability
100
Improvement activities
40
Cost
74.14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
340195OHMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kettering Independent Medical Group Inc Single Specialty CurrentSince Dec 29, 2022 Accepting new patients

Locations

2510 Commons Blvd
Ste 230
Beavercreek, OH 45431
Phone (937) 429-2139

7756 Washington Village Dr
Ste 135
Dayton, OH 45459
Phone (937) 425-4137

450B Washington Jackson Rd
Ste 107
Eaton, OH 45320
Phone (877) 645-9474

8701 Troy Pike
Ste 10
Huber Heights, OH 45424
Phone (937) 235-2757

8701 Old Troy Pike
Ste 40B
Huber Heights, OH 45424
Phone (937) 439-6242

4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910

3700 Southern Blvd
Ste 401
Kettering, OH 45429
Phone (855) 500-2873

1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306

6147 State Route 122
Ste 110
Middletown, OH 45005
Phone (513) 260-3500

243 W Central Ave
Springboro, OH 45066
Phone (513) 748-4814

Organizations & group practices 1

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.

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": "1533513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1740768340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PRESTIGE PL STE 550",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453426115",
            "telephone_number": "937-762-1310",
            "fax_number": "937-522-8493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7756 WASHINGTON VILLAGE DR STE 135",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "45459",
            "telephone_number": "937-531-0190",
            "fax_number": "937-531-0191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2937 Abby Ln",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "OH",
            "postal_code": "450367313",
            "country_code": "US",
            "telephone_number": "513-594-9458",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3700 Southern Blvd Ste 401",
            "address_purpose": "LOCATION",
            "city": "Kettering",
            "state": "OH",
            "postal_code": "454291226",
            "country_code": "US",
            "telephone_number": "855-500-2873",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGUIRE",
        "first_name": "BRANDIE",
        "middle_name": "LYN",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, WHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-06",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "OH",
            "license": "340195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "H721940",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0355661",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bmcguire660525@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "7756 Washington Village Dr Ste 135",
            "city": "Centerville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "45459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "7756 Washington Village Dr Ste 135",
            "city": "Centerville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "45459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Centerville, OH

Sources for this page

Verify at the official NPI Registry.