Haley Brewster, APRN

Individual provider Active NPI Family Nurse Practitioner · Bowling Green, KY

NPI 1750758306 · NPPES record last updated Jan 26, 2022

Key facts

NPI
1750758306
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
3009588 (KY)
Practice address
746 Campbell LN Ste 101
Bowling Green, KY 42104-1000
Phone
(270) 843-9510
Fax
(270) 843-9511
NPI assigned
Aug 31, 2015
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Graves Gilbert Clinic PLLC (207 clinicians)

Practice addresses (Care Compare)

990 Wilkinson Trce
Bowling Green, KY 42103-3404
Phone (270) 781-4043

Hospital & facility affiliations

  • The Medical Center (Bowling Green) Hospital · Bowling Green, KY · CCN 180013

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20160126001378 KY Practitioner - Nurse Practitioner 3375846389 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
3009588KYMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: haleybrewster@ggc.allscriptsdirect.net
  • Direct secure messaging: haley.brewster@hca1.eclinicaldirectplus.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3009588 KY Yes

Addresses

Primary practice location

746 Campbell LN Ste 101
Bowling Green, KY 42104-1000

Mailing address

746 Campbell LN Ste 101
Bowling Green, KY 42104-1000
Phone (270) 843-9510

Other identifiers

IdentifierTypeStateIssuer
7100366240MedicaidKY

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address HALEY.BREWSTER@hca1.eclinicaldirectplus.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 26, 2022.

{
    "created_epoch": "1440979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1750758306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "746 CAMPBELL LN STE 101",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421041000",
            "telephone_number": "270-843-9510",
            "fax_number": "270-843-9511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "746 CAMPBELL LN STE 101",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421041000",
            "telephone_number": "270-843-9510",
            "fax_number": "270-843-9511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREWSTER",
        "first_name": "HALEY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-31",
        "last_updated": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3009588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100366240",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "HALEY.BREWSTER@hca1.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "746 Campbell Ln Ste 101",
            "city": "Bowling Green",
            "state": "KY",
            "country_code": "US",
            "postal_code": "421041000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bowling Green, KY

All providers in Bowling Green, KY · Family Nurse Practitioner in Kentucky

Sources for this page

Verify at the official NPI Registry.