Leigh Ann Brandeberry, APN

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

APN0000019241 Issued in TN

Practice address

24 Physicians Dr
Jackson, TN 38305-2070

Phone

(731) 661-9825

Fax

(731) 668-6757

NPI assigned

Oct 29, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

West Tennessee Bone and Joint Clinic PCGroup PAC ID 7517940182, 64 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health Care Home health agency, Jackson, TN, CCN 447278
• Tennessee Quality Care - Home Health Home health agency, Parsons, TN, CCN 447402
• Volunteer Home Care Home health agency, Humboldt, TN, CCN 447557
• Extendicare Home Health of West TN Home health agency, Dyersburg, TN, CCN 447284
• Lauderdale Community Hospital Hospital, Ripley, TN, CCN 441314
• Dyersburg Regional Medical Center Hospital, Dyersburg, TN, CCN 440072

Merit-based Incentive Payment System (MIPS)

Final score

91.05 of 100Reported as group

Promoting interoperability

98

Improvement activities

40

Cost

73.85

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: leigh.brandeberry.1@3533.direct.athenahealth.com

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.

• West Tennessee Bone and Joint Clinic PC

  • Specialist
  • Jackson, TN
  • NPI 1831312461

  TN

  Medicare reassignment Care Compare group NPD

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

• Dyersburg Health

  • Community/Retail Pharmacy
  • Dyersburg, TN
  • NPI 1043282338

  Hospital

  Care Compare affiliation
• HHC, LLC

  • Home Health Agency
  • Jackson, TN
  • NPI 1851349559
  Care Compare affiliation
• Lauderdale Community Hospital LLC

  • Medicare Defined Swing Bed Hospital Unit
  • Ripley, TN
  • NPI 1356973663

  Hospital

  Care Compare affiliation
• Lauderdale Community Hospital LLC

  • Critical Access Hospital
  • Ripley, TN
  • NPI 1376175687

  Hospital

  Care Compare affiliation
• Lifeline of West Tennessee, LLC

  • Home Health Agency
  • Dyersburg, TN
  • NPI 1821288572
  Care Compare affiliation
• Tennessee Valley Home Care, LLC

  • Home Health Agency
  • Parsons, TN
  • NPI 1396702536
  Care Compare affiliation
• Volunteer Home Care, Inc.

  • Home Health Agency
  • Humboldt, TN
  • NPI 1659320190
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1414540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446422400000",
    "number": "1750786018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 PHYSICIANS DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052070",
            "telephone_number": "731-661-9825",
            "fax_number": "731-668-6757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 PHYSICIANS DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052070",
            "telephone_number": "731-661-9825",
            "fax_number": "731-668-6757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDEBERRY",
        "first_name": "LEIGH",
        "middle_name": "ANN",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-29",
        "last_updated": "2015-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TN",
            "license": "APN0000019241",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TN",
            "license": "APN0000019241",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q011957",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William H Boyce III, MD
• Kimberly Boyd, CRISIS CLINICIAN
• Sherry Boyd
• Leanne Braddock, LMFT
• Aaron Scott Brakhane, LCSW
• Ginger Brasfield, CRNA
• Amanda K. Braswell, CPNP
• Marshetta Shavon Brazley, MT-BC
• Byron Michael Breeding, PA C
• Ashley Scott Brewer, MD

• All providers in Jackson, TN
• Acute Care Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.