Brandie Danielle Berry, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Louisville, KY
NPI 1760713481 · NPPES record last updated Apr 18, 2018
Key facts
- NPI
- 1760713481
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 3006323 (KY)
- Practice address
- 1850 Bluegrass Ave
Anesthesia Department
Louisville, KY 40215-1161 - Phone
- (502) 361-6617
- Fax
- (502) 361-6637
- NPI assigned
- Jan 20, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 22
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University of Louisville Physicians Inc
Practice addresses (Care Compare)
201 Abraham Flexner Way
Suite 1200
Louisville, KY 40202-3481
Phone (502) 583-8383
Hospital & facility affiliations
- UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.96 of 100
- Quality
- 56.12
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.73
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100512000381 | KY | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 8123156171 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3006323 | KY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Louisville Physicians, Inc. | Current |
Accepting new patients | |
| University of Louisville Physicians, Inc. | Current |
Accepting new patients | |
| University Anesthesiology Associates PSC | Past | Accepting new patients |
Locations
7752 Solution Ctr
Chicago, IL 60677
530 S Jackson St
Louisville, KY 40202
Phone (502) 562-3000
5100 Outer Loop
Louisville, KY 40219
Phone (502) 968-6226
201 Abraham Flexner Way
Ste 1200
Louisville, KY 40202
Phone (502) 583-8383
1850 Bluegrass Ave
Louisville, KY 40215
Phone (502) 361-6617
571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 3006323 | KY | Yes |
Addresses
Primary practice location
1850 Bluegrass Ave
Anesthesia Department
Louisville, KY 40215-1161
Mailing address
100 E Liberty St Ste 800
Louisville, KY 40202-1428
Phone (502) 361-6617
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100109380 | Medicaid | KY | |
| 200975010A | Medicaid | IN |
Other names
- Brandie Wigginton
Other providers in Louisville, KY
- Alexander Berrios
- Julie Berrong
- Berry Wellness & Psychology, PLC
- Adam Thompson Berry
- Allyson Berry
- Brianna Nicole Berry
- Carlee Shifko Berry
- Gloria Berry
- Natalie Farid Berry
- Paula A. Berry
All providers in Louisville, KY · Certified Registered Nurse Anesthetist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2018. 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.
- 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.