Individual provider Active NPI

Brenda R Nunley, APRN-NP

  • Family Nurse Practitioner
  • Hastings, NE
National Provider Identifier
1891923702
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
111025 Issued in NE
Practice address
926 E E St Ste 100
Hastings, NE 68901-6617
Phone
(402) 303-8802
Fax
(402) 487-0599
NPI assigned
Jun 30, 2009
Last updated
Dec 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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 111025 NE Primary

Addresses

Primary practice location

926 E E St Ste 100
Hastings, NE 68901-6617

Mailing address

926 E E St Ste 100
Hastings, NE 68901-6617
Phone (402) 303-8802

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address brenda.nunley.1@27437.direct.athenahealth.com Direct Advanced Family Healthcare LLC

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
I20090812000021 NE Practitioner - Nurse Practitioner 9335293232 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Creighton University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Family Healthcare LLCGroup PAC ID 6103296777, 4 clinicians

Practice addresses (Care Compare)

926 E E St
Suite 100
Hastings, NE 68901-6617
Phone (402) 303-8802

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Family Healthcare LLC CurrentSince Nov 1, 2022 Accepting new patients

Locations

926 E E St
Ste 100
Hastings, NE 68901
Phone (402) 303-8802

Interoperability endpoints

  • Direct secure messaging: bnunley@fmch.directbygreenway.com
  • Direct secure messaging: brenda.nunley.1@27437.direct.athenahealth.com

Organizations & group practices 1

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 5

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": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1891923702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 E E ST STE 100",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689016617",
            "telephone_number": "402-303-8802",
            "fax_number": "402-487-0599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 E E ST STE 100",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689016617",
            "telephone_number": "402-303-8802",
            "fax_number": "402-487-0599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNLEY",
        "first_name": "BRENDA",
        "middle_name": "R",
        "credential": "APRN-NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-30",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "111025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brenda.nunley.1@27437.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "Advanced Family Healthcare LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "926 E E St Ste 100",
            "city": "Hastings",
            "state": "NE",
            "country_code": "US",
            "postal_code": "689016617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hastings, NE

Sources for this page

Verify at the official NPI Registry.