Individual provider Active NPI

Brandi Ann Tipple, CNP

  • Family Nurse Practitioner
  • Lancaster, OH
National Provider Identifier
1780229682
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.025944 Issued in OH
Practice address
1750 Granville Pike
Lancaster, OH 43130-1041
Phone
(833) 510-4357
NPI assigned
Nov 14, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.025944 OH Primary

Addresses

Primary practice location

1750 Granville Pike
Lancaster, OH 43130-1041

Mailing address

615 Elsinore PL Ste 200
Cincinnati, OH 45202-1457
Phone (513) 834-7063

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20210122001115 OH Practitioner - Nurse Practitioner 5092129635 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Genesis Primary Care Physicians, LLCGroup PAC ID 5294992293, 45 clinicians

Practice addresses (Care Compare)

103 Public Square
Somerset, OH 43783-9588
Phone (740) 900-0070

Hospital & facility affiliations

  • Genesis Hospital Hospital, Zanesville, OH, CCN 360039

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brightview LLC CurrentSince Aug 8, 2022 Accepting new patients
Theoria Medical CurrentSince Jan 18, 2021 Accepting new patients
Brightview LLC CurrentSince Aug 8, 2022 Accepting new patients
Genesis Primary Care Physicians LLC CurrentSince May 17, 2023 Accepting new patients
Theoria Medical Past Accepting new patients

Locations

41850 W 11 Mile Rd
Ste 207
Novi, MI 48375

615 Elsinore Pl
Ste 200
Cincinnati, OH 45202
Phone (513) 639-2800

6527 Colerain Ave
Cincinnati, OH 45239
Phone (513) 385-5000

506 E Main St
Ste A
Junction City, OH 43748
Phone (740) 450-6144

1750 Granville Pike
Lancaster, OH 43130
Phone (740) 653-2500

1030 High St
Worthington, OH 43085
Phone (614) 876-7356

1210 Ashland Ave
Zanesville, OH 43701
Phone (740) 452-1905

Organizations & group practices 6

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 4

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": "1573689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1780229682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 ELSINORE PL STE 200",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452021457",
            "telephone_number": "513-834-7063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 GRANVILLE PIKE",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431301041",
            "telephone_number": "833-510-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIPPLE",
        "first_name": "BRANDI",
        "middle_name": "ANN",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-14",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.025944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, OH

Sources for this page

Verify at the official NPI Registry.