Individual provider Active NPI

Cayla B. Brewer, N.P.

  • Family Nurse Practitioner
  • Terre Haute, IN
National Provider Identifier
1750738837
Registry record updated Aug 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71006255A Issued in IN
Practice address
3903 S 7TH St Ste 2C
Terre Haute, IN 47802-5710
Phone
(812) 814-3417
Fax
(812) 645-3911
NPI assigned
May 19, 2016
Last updated
Aug 29, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2017

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 71006255A IN Primary

Addresses

Primary practice location

3903 S 7TH St Ste 2C
Terre Haute, IN 47802-5710

Mailing address

PO Box 3276
Evansville, IN 47731-3276
Phone (812) 473-0181

Other identifiers 2

IdentifierTypeStateIssuer
P01834776OtherINRR MEDICARE
IN362002OtherININ MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20160622001989 IN Practitioner - Nurse Practitioner 3779874789 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2133 S State Rd
Suite 46
Terre Haute, IN 47803-9781
Phone (812) 232-0564

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America LLC CurrentSince Mar 1, 2019 Accepting new patients
Union Associated Physicians Clinic, LLC CurrentSince Nov 2, 2020 Accepting new patients
Union Associated Physicians Clinic LLC CurrentSince Nov 2, 2020 Accepting new patients
Cep America LLC CurrentSince Mar 1, 2019 Accepting new patients
Mso Clinics, Inc. Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

1600 23rd St
Bedford, IN 47421
Phone (812) 275-3331

1 St Mary of Woods Coll
Saint Mary of the Woods, IN 47876

2200 N Section St
Sullivan, IN 47882
Phone (812) 268-6292

2200 N Section St
#A
Sullivan, IN 47882
Phone (812) 268-3318

567 N 5th St
Terre Haute, IN 47809
Phone (812) 237-3632

2133 S State Road 46
Terre Haute, IN 47803
Phone (812) 242-3737

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

3901 S 7th St
Terre Haute, IN 47802
Phone (812) 232-0021

5500 Wabash Ave
Terre Haute, IN 47803
Phone (812) 230-0265

221 S 6th St
Terre Haute, IN 47807
Phone (812) 242-3157

3903 S 7th St
Ste 2C
Terre Haute, IN 47802
Phone (812) 235-9002

Organizations & group practices 5

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": "1463616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503964800000",
    "number": "1750738837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3276",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477313276",
            "telephone_number": "812-473-0181",
            "fax_number": "812-473-5822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3903 S 7TH ST STE 2C",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478025710",
            "telephone_number": "812-814-3417",
            "fax_number": "812-645-3911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREWER",
        "first_name": "CAYLA",
        "middle_name": "B.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-19",
        "last_updated": "2017-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71006255A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01834776",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IN MEDICARE",
            "identifier": "IN362002",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

Verify at the official NPI Registry.