Individual provider Active NPI

Brandi Lanice Alwine, PA

  • Physician Assistant
  • Angola, IN
National Provider Identifier
1770718173
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
306 E Maumee St Ste 303
Angola, IN 46703-2044
Phone
(260) 667-5148
Fax
(260) 667-5689
NPI assigned
May 28, 2009
Last updated
Jul 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

306 E Maumee St Ste 303
Angola, IN 46703-2044

Mailing address

416 E Maumee St
Angola, IN 46703-2015

Other names 1

  • Brandi Lanice Alspach Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address balwine1054347@direct.ohiohealth.com OhioHealth Physician Group, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160510002355 IN Practitioner - Physician Assistant 0345384509 Reassigns benefits to 2 organizations
I20200519002402 OH Practitioner - Physician Assistant 0345384509 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

306 E Maumee St
Angola, IN 46703-2038

306 E Maumee St
Angola, IN 46703-2044

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.04 of 100Reported as group
Quality
58.67
Promoting interoperability
98
Improvement activities
40
Cost
76.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
002030IAMDRegistered Dietitian
1469NEMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Community Hospitals and Wellness Centers CurrentSince Nov 1, 2021 Accepting new patients
Cameron Memorial Community Hospital, Inc. CurrentSince May 19, 2025 Accepting new patients
Community Hospitals and Wellness Centers CurrentSince Nov 1, 2021 Accepting new patients
Ohiohealth Corporation CurrentSince Mar 1, 2024 Accepting new patients
Ohiohealth Corporation CurrentSince Mar 1, 2024 Accepting new patients
Cameron Memorial Community Hospital, Inc CurrentSince May 19, 2025 Accepting new patients
Van Wert Medical Services, LTD. CurrentSince Jun 28, 2020 Accepting new patients
Van Wert Medical Services, LTD. CurrentSince Jun 28, 2020 Accepting new patients
Cameron Memorial Community Hospital Inc Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

306 E Maumee St
Angola, IN 46703
Phone (260) 667-5335

306 E Maumee St
Ste 303
Angola, IN 46703
Phone (260) 665-8494

416 E Maumee St
Angola, IN 46703
Phone (260) 665-2141

121 Westfield Dr
Archbold, OH 43502
Phone (419) 445-2015

433 W High St
Bryan, OH 43506
Phone (419) 636-1131

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

1250 S Washington St
Van Wert, OH 45891
Phone (419) 232-2077

140 Fox Rd
Ste 105
Van Wert, OH 45891
Phone (419) 228-7275

Organizations & group practices 11

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1243468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1770718173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 E MAUMEE ST",
            "city": "ANGOLA",
            "state": "IN",
            "postal_code": "467032015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 E MAUMEE ST STE 303",
            "city": "ANGOLA",
            "state": "IN",
            "postal_code": "467032044",
            "telephone_number": "260-667-5148",
            "fax_number": "260-667-5689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALWINE",
        "first_name": "BRANDI",
        "middle_name": "LANICE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-28",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "balwine1054347@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group, Inc.",
            "address_1": "140 Fox Rd Ste 105",
            "city": "Van Wert",
            "state": "OH",
            "country_code": "US",
            "postal_code": "458912490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BRANDI",
            "last_name": "ALSPACH",
            "middle_name": "LANICE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Angola, IN

Sources for this page

Verify at the official NPI Registry.