Individual provider Active NPI

Ginger Lynn Brasuell, APRN-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Scottsbluff, NE
National Provider Identifier
1831207968
Registry record updated Mar 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
110486 Issued in NE
Practice address
1013 E 19TH St
Scottsbluff, NE 69361-2635
Phone
(308) 635-0882
Fax
(308) 635-0883
NPI assigned
Aug 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 110486 NE Primary

Addresses

Primary practice location

1013 E 19TH St
Scottsbluff, NE 69361-2635

Mailing address

1013 E 19TH St
Scottsbluff, NE 69361-2635
Phone (308) 635-0882

Other identifiers 2

IdentifierTypeStateIssuer
100264473-00MedicaidNE
100264472-00MedicaidNE

Other names 1

  • Ms. Ginger Lynn Brasuell Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20081118000861 NE Practitioner - Nurse Practitioner 2163582313 Practice locations: Scottsbluff, NE

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Nebraska College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1013 E 19TH St
Scottsbluff, NE 69361-2635

1802 17TH Ave
Scottsbluff, NE 69361-2734
Phone (308) 632-2304

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
110486NEMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425513600000",
    "number": "1831207968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 E 19TH ST",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693612635",
            "telephone_number": "308-635-0882",
            "fax_number": "308-635-0883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 E 19TH ST",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693612635",
            "telephone_number": "308-635-0882",
            "fax_number": "308-635-0883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRASUELL",
        "first_name": "GINGER",
        "middle_name": "LYNN",
        "credential": "APRN-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-28",
        "last_updated": "2015-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NE",
            "license": "110486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100264473-00",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100264472-00",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINGER",
            "last_name": "BRASUELL",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "credential": "APRN-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Scottsbluff, NE

Sources for this page

Verify at the official NPI Registry.