Individual provider Active NPI

Brandi Manning, PA-C

  • Medical Physician Assistant
  • Ashland, KY
National Provider Identifier
1881781623
Registry record updated Feb 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA546 Issued in KY
Practice address
6572 Midland Trail Rd
Ashland, KY 41102-9286
Phone
(606) 928-7755
Fax
(606) 928-0052
NPI assigned
Oct 5, 2006
Last updated
Feb 24, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA546 KY Primary

Addresses

Primary practice location

6572 Midland Trail Rd
Ashland, KY 41102-9286

Mailing address

PO Box 1595
Ashland, KY 41105-1595
Phone (606) 408-5044

Other identifiers 2

IdentifierTypeStateIssuer
0068722MedicaidOH
95006029MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20051207000821 KY Practitioner - Physician Assistant 4082635925 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Kentucky College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ashland Hospital CorporationGroup PAC ID 7719882521, 169 clinicians
Premier Therapy and Health Centers IncGroup PAC ID 7416859574, shared by 6 NPIs, 263 clinicians

Practice addresses (Care Compare)

100 Bellefonte Dr
Grayson, KY 41143-1820
Phone (606) 474-0669

105 State Hwy 1947
Grayson, KY 41143-6825

12100 Princeland Dr
Ashland, KY 41102-7885
Phone (606) 928-2963

2201 Lexington Ave
Ashland, KY 41101-2843
Phone (606) 408-4000

710 N Carol Malone Boulevard
Suite a
Grayson, KY 41143-1126
Phone (606) 474-0157

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.16 of 100Reported as group
Quality
77.42
Promoting interoperability
100
Improvement activities
40
Cost
77.62

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA546KYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ashland Hospital Corporation CurrentSince Apr 4, 2022 Accepting new patients
Ashland Hospital Corporation CurrentSince Apr 4, 2022 Accepting new patients
Ashland Hospital Corporation Medical Past Accepting new patients

Locations

12100 Princeland Spur
Ashland, KY 41102
Phone (606) 928-2963

2001 Winchester Ave
Ashland, KY 41101
Phone (606) 324-3444

2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560

100 Bellefonte Dr
Grayson, KY 41143
Phone (606) 474-0669

105 State Highway 1947
#A
Grayson, KY 41143
Phone (606) 474-7892

105A State Highway 1947
Grayson, KY 41143
Phone (606) 474-7892

Interoperability endpoints

  • Direct secure messaging: bmanning1132@direct.kdhealth.us

Organizations & group practices 4

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 2

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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424736000000",
    "number": "1881781623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1595",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411051595",
            "telephone_number": "606-408-5044",
            "fax_number": "606-408-7425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6572 MIDLAND TRAIL RD",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411029286",
            "telephone_number": "606-928-7755",
            "fax_number": "606-928-0052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNING",
        "first_name": "BRANDI",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2015-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KY",
            "license": "PA546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0068722",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95006029",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

Verify at the official NPI Registry.