Individual provider Active NPI

Brandy Michele McDonald, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbia, MO
National Provider Identifier
1871166843
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2019047518 Issued in MO
Practice address
1201 International Dr
Columbia, MO 65202
Phone
(573) 615-2001
Fax
(573) 442-7514
NPI assigned
Jul 19, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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 2019047518 MO Primary

Addresses

Primary practice location

1201 International Dr
Columbia, MO 65202

Mailing address

160 Angel Lane
Holts Summit, MO 65043
Phone (573) 544-1604

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20211110000766 MO Practitioner - Nurse Practitioner 4688818313 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
East Central Missouri Behavioral Health Services, Inc CurrentSince Feb 3, 2025 Accepting new patients
Serenity Health LLC CurrentSince Feb 22, 2024 Accepting new patients
East Central Missouri Behavioral Health Services, Inc CurrentSince Feb 3, 2025 Accepting new patients
St. Louis Internal Medicine Inc PastSince Feb 22, 2024 Accepting new patients
Psych Care Consultants LLC PastSince Mar 15, 2001 Accepting new patients

Locations

1705 E Broadway
Ste 200
Columbia, MO 65201
Phone (573) 875-6504

340 Kelley Pkwy
Mexico, MO 65265
Phone 5735821234 ext. 3017

11709 Old Ballas Rd
Ste 104
Saint Louis, MO 63141
Phone (314) 329-2036

4905 Mexico Rd
Ste 300
Saint Peters, MO 63376
Phone (636) 928-5109

4905 Mexico Rd
Ste 400
Saint Peters, MO 63376
Phone (314) 860-9979

Interoperability endpoints

  • Direct secure messaging: brandy.mcdonald.p1@direct.arthurcenter.nextgenshare.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1871166843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 ANGEL LANE",
            "city": "HOLTS SUMMIT",
            "state": "MO",
            "postal_code": "65043",
            "telephone_number": "573-544-1604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 INTERNATIONAL DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "65202",
            "telephone_number": "573-615-2001",
            "fax_number": "573-442-7514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "BRANDY",
        "middle_name": "MICHELE",
        "name_prefix": "Ms.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-19",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2019047518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.