NPIMap

Individual provider Active NPI

Amy Lynn Brandt, DNP, ONP-C

  • Family Nurse Practitioner
  • Morris, MN
National Provider Identifier
1750616348
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5914 Issued in MN
Practice address
400 E 1St St
Morris, MN 56267-1408
Phone
(320) 589-7604
NPI assigned
Oct 15, 2009
Last updated
Apr 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

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 5914 MN Primary

Addresses

Primary practice location

400 E 1St St
Morris, MN 56267-1408

Mailing address

400 E 1St St
Morris, MN 56267-1408
Phone (320) 589-7604

Other names 1

  • Dr. Amy Lynn Brandt Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190118002682 MN Practitioner - Nurse Practitioner 4284971870 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Creighton University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stevens Community Medical Center IncGroup PAC ID 3678475852, shared by 6 NPIs, 72 clinicians

Practice addresses (Care Compare)

400 E St St
Morris, MN 56267-0660
Phone (320) 589-1313

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5914MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Glacial Ridge Hospital District CurrentSince Dec 8, 2018 Accepting new patients
Glacial Ridge Hospital District Current Accepting new patients
Stevens Community Medical Center Inc CurrentSince Aug 1, 2019 Accepting new patients
Stevens Community Medical Center Inc. Current Accepting new patients
Stevens Community Medical Center Inc Current Accepting new patients
Glacial Ridge Hospital District Current Accepting new patients
Glacial Ridge Hospital District CurrentSince Dec 8, 2018 Accepting new patients
Stevens Community Medical Center Inc CurrentSince Aug 1, 2019 Accepting new patients

Locations

10 4th Ave SE
Glenwood, MN 56334
Phone (320) 634-5157

417 Franklin St S
Glenwood, MN 56334
Phone (320) 634-5157

400 E 1st St
Morris, MN 56267
Phone (320) 589-1313

Interoperability endpoints

  • Direct secure messaging: abrandt462251@direct.centracare.com
  • FHIR API: https://fhir-usa.unify.chbase.com/org/glac-1755385c

Organizations & group practices 8

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 3

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": "1255564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1750616348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E 1ST ST",
            "city": "MORRIS",
            "state": "MN",
            "postal_code": "562671408",
            "telephone_number": "320-589-7604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E 1ST ST",
            "city": "MORRIS",
            "state": "MN",
            "postal_code": "562671408",
            "telephone_number": "320-589-7604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDT",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DNP, ONP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-15",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "5914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "BRANDT",
            "middle_name": "LYNN",
            "prefix": "DR.",
            "credential": "DNP, ONP-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Morris, MN

Sources for this page

Verify at the official NPI Registry.