Individual provider Active NPI

Brenda Campos-Ilesanmi, MSN,APRN,FNP-C

  • Nurse Practitioner
  • Midland, TX
National Provider Identifier
1740807304
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1001850 Issued in TX
Practice address
4214 Andrews Hwy Ste 102
Midland, TX 79703-4815
Phone
(432) 221-5580
Fax
(833) 464-3487
NPI assigned
Jun 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1001850 TX
Nurse Practitioner 363L00000X 1001850 TX Primary

Addresses

Primary practice location

4214 Andrews Hwy Ste 102
Midland, TX 79703-4815

Mailing address

3208 Ranchland Dr
Midland, TX 79705-5716
Phone (432) 238-2046

Other practice location 1

400 Rosalind Redfern Grover Pkwy
Midland, TX 79701-5846
Phone (432) 221-1111

Other practice location 2

400 Rosalind Redfern Grover Pkwy Ste 120
Midland, TX 79701-5849
Phone (432) 221-3700

Other identifiers 1

IdentifierTypeStateIssuer
1001850OtherTXSTATE LICENSE

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address BRENDA.CAMPOS-ILESANMI@MIDLANDHEALTH.CERNERDIRECT.COM Health Information Exchange (HIE)
Direct Messaging Address brenda.campos-ilesanmi.1@3522.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20200806002139 TX Practitioner - Nurse Practitioner 6305261405 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imed Physician Network, Inc.Group PAC ID 6608103155, 45 clinicians
Premier Family Care I IncGroup PAC ID 2567351372, 71 clinicians

Practice addresses (Care Compare)

2700 W Pleasant Run Rd
Suite 340
Lancaster, TX 75146-1074
Phone (469) 284-0782

400 Rosalind Redfern Grover Pkwy
Suite 120
Midland, TX 79701-5849
Phone (432) 684-6962

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1001850TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Imed Physician Network, Inc. CurrentSince Jul 1, 2024 Accepting new patients
Odessa Physician Associates, PLLC Nurse Practitioner CurrentSince Nov 8, 2021 Accepting new patients
Ada Adult and Children Family Clinic LLC CurrentSince Feb 1, 2022 Accepting new patients
Acs Primary Care Physicians Southwest, PA Nurse Practitioner CurrentSince Sep 1, 2025 Accepting new patients
Premier Family Care I, Inc CurrentSince Jul 12, 2022 Accepting new patients
Midland Emergency Managers PLLC CurrentSince Aug 1, 2023 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Jun 1, 2024 Accepting new patients
MCH Professional Care PastSince Jul 23, 2020 Accepting new patients
Femvida, PLLC PastSince Jul 1, 2020 Accepting new patients

Locations

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

25311 Kingsland Blvd
Ste 190
Katy, TX 77494
Phone (832) 447-6454

2700 W Pleasant Run Rd
Ste 340
Lancaster, TX 75146
Phone (469) 206-4515

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

400 Rosalind Redfern Grover Pkwy
Ste 120
Midland, TX 79701
Phone (432) 221-3700

2304 W Michigan Ave
Midland, TX 79701
Phone (214) 819-9600

4214 Andrews Hwy
Ste 240
Midland, TX 79703
Phone (432) 686-6605

400 Rosalind Redfern Grover Pkwy
Midland, TX 79701
Phone (432) 221-4850

4214 Andrews Hwy
Ste 102
Midland, TX 79703
Phone (432) 221-5580

3416 W Wall St
Ste 100
Midland, TX 79701
Phone (423) 400-3066

2407 W Louisiana Ave
Ste 104
Midland, TX 79701
Phone (432) 231-2037

500 W 4th St
Odessa, TX 79761
Phone (432) 640-1000

520 E 6th St
Odessa, TX 79761
Phone (432) 332-0929

900 E 4th St
Odessa, TX 79761
Phone (432) 362-9900

Interoperability endpoints

  • Direct secure messaging: brenda.campos-ilesanmi@midlandhealth.cernerdirect.com

Organizations & group practices 9

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 1

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": "1593475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1740807304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3208 RANCHLAND DR",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797055716",
            "telephone_number": "432-238-2046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4214 ANDREWS HWY STE 102",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797034815",
            "telephone_number": "432-221-5580",
            "fax_number": "833-464-3487"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Rosalind Redfern Grover Pkwy",
            "address_purpose": "LOCATION",
            "city": "Midland",
            "state": "TX",
            "postal_code": "797015846",
            "country_code": "US",
            "telephone_number": "432-221-1111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Rosalind Redfern Grover Pkwy Ste 120",
            "address_purpose": "LOCATION",
            "city": "Midland",
            "state": "TX",
            "postal_code": "797015849",
            "country_code": "US",
            "telephone_number": "432-221-3700",
            "fax_number": "432-685-0834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPOS-ILESANMI",
        "first_name": "BRENDA",
        "credential": "MSN,APRN,FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-30",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1001850",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1001850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "1001850",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "BRENDA.CAMPOS-ILESANMI@MIDLANDHEALTH.CERNERDIRECT.COM",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "400 Rosalind Redfern Grover Pkwy",
            "city": "Midland",
            "state": "TX",
            "country_code": "US",
            "postal_code": "797015846",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brenda.campos-ilesanmi.1@3522.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "400 Rosalind Redfern Grover Pkwy Ste 120",
            "city": "Midland",
            "state": "TX",
            "country_code": "US",
            "postal_code": "797015849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

Verify at the official NPI Registry.