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
Hospital & facility affiliations 1
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
Practice addresses (Care Compare)
990 Wilkinson Trce
Bowling Green, KY 42103-3404
Phone (270) 781-4043
Hospital & facility affiliations
- The Medical Center (Bowling Green)
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160126001378 | KY | Practitioner - Nurse Practitioner | 3375846389 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3009588 | KY | MD | Family Nurse Practitioner |
Interoperability endpoints
- haleybrewster@ggc.allscriptsdirect.net
- haley.brewster@hca1.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100366240 | Medicaid | KY |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | HALEY.BREWSTER@hca1.eclinicaldirectplus.com |
NPI Registry JSON
{
"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
- Amy Brausch
- Rhonda Keen Bray
- Breiwa Ware & Jeskie PSC
- John Norbert Breiwa
- James Evan Brewer
- Briarwood Dental Partners, LLC
- Christopher Brice
- Taylor Brice
- Sarah Bridgeman
- Selina Renee Brigance
All providers in Bowling Green, KY · Family Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.