Individual provider Active NPI

Kregan Brault, CNM

  • Advanced Practice Midwife
  • Williamsburg, VA
National Provider Identifier
1871983122
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
0024170653 Issued in VA
Practice address
500 Sentara Cir Ste 105
Williamsburg, VA 23188-5754
Phone
(757) 253-5653
Fax
(757) 378-2776
NPI assigned
Jan 26, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 0001192181 VA
Advanced Practice Midwife 367A00000X 0024170653 VA Primary

Addresses

Primary practice location

500 Sentara Cir Ste 105
Williamsburg, VA 23188-5754

Mailing address

6353 Center Dr Ste 100
Norfolk, VA 23502-4100
Phone (561) 486-8439

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kregan.brault.p1@direct.tpmg.nextgenshare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150814013888 VA Practitioner - Certified Nurse Midwife (CNM) 7214242577 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6353 Ctr Dr
Suite 100
Norfolk, VA 23502

Merit-based Incentive Payment System (MIPS)

Final score
85.45 of 100Reported as group
Quality
76.15
Promoting interoperability
100
Improvement activities
40
Cost
75.34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0001192181VAMDLicensed Practical Nurse
0024170653VAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Atlantic Womens Care PLC CurrentSince Nov 15, 2022 Accepting new patients
Mid-Atlantic Womens Care PLC Past Accepting new patients
Williamsburg Obstetrics & Gynecology Past Accepting new patients

Locations

6353 Center Dr
Ste 100
Norfolk, VA 23502
Phone (571) 356-9735

844 Kempsville Rd
Ste 208
Norfolk, VA 23502
Phone (757) 461-3890

500 Sentara Cir
Ste 105
Williamsburg, VA 23188
Phone (757) 253-5653

Interoperability endpoints

  • Direct secure messaging: kregan.brault.1@22824.direct.athenahealth.com
  • Direct secure messaging: kregan.brault.p1@direct.tpmg.nextgenshare.com
  • FHIR API: https://api.platform.athenahealth.com/22824/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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": "1422230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1871983122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6353 CENTER DR STE 100",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235024100",
            "telephone_number": "561-486-8439",
            "fax_number": "757-232-8875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SENTARA CIR STE 105",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231885754",
            "telephone_number": "757-253-5653",
            "fax_number": "757-378-2776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAULT",
        "first_name": "KREGAN",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-26",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "VA",
            "license": "0001192181",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "VA",
            "license": "0024170653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kregan.brault.p1@direct.tpmg.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "nextgen",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "network",
            "address_1": "860 Omni Blvd",
            "address_2": "Suite 110",
            "city": "Newport News",
            "state": "VA",
            "country_code": "US",
            "postal_code": "236064434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

Verify at the official NPI Registry.