Active NPI
Brandon M Smith, RN, MSN, APRN-BC
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- Edwards, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- License
- 0996112
- Practice address
- 439 Edwards Access Rd
Edwards, CO 81632-5634 - Phone
- (970) 445-2489
- Fax
- (970) 470-6510
- NPI assigned
- May 30, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0809X | R1612293 | MN | |
| Adult Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0809X | R161229-3 | MN | |
| Adult Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0809X | 0996112 | CO | Primary |
Addresses
Primary practice location
439 Edwards Access Rd
Edwards, CO 81632-5634
Mailing address
PO Box 4330
Avon, CO 81620-4330
Phone (970) 926-6340
Other practice location 1
1406 6th Avenue North
St. Cloud Hospital
St. Cloud, MN 56303
Phone (320) 251-2700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Clinical Nurse Specialist (CNS)
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
110 2ND St S
Suite 104
Waite Park, MN 56387-1367
Phone (320) 259-9375
1406 6TH Ave N
Saint Cloud, MN 56303-1900
Phone (320) 251-2700
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0996112 | CO | MD | Adult Psychiatric/Mental Health Clinical Nurse Specialist |
| R161229-3 | MN | MD | Adult Psychiatric/Mental Health Clinical Nurse Specialist |
| R1612293 | MN | MD | Adult Psychiatric/Mental Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centracare Health System - Melrose | Current | Accepting new patients | |
| St. Cloud Hospital | Current | Accepting new patients | |
| St. Cloud Hospital | Current | Accepting new patients | |
| Centracare Health System - Melrose | Current | Accepting new patients | |
| Centracare Health System-NR LLC | Current | Accepting new patients | |
| St. Cloud Hospital | Current | Accepting new patients | |
| Centracare Health System-NR LLC | Current | Accepting new patients | |
| Colorado Mountain Medical, LLC | Past | Accepting new patients | |
| St. Cloud Hospital | Past | Accepting new patients |
Locations
525 Main St W
Melrose, MN 56352
Phone (320) 256-4228
1013 Hart Blvd
Monticello, MN 55362
Phone (763) 271-2303
1406 6th Ave N
Saint Cloud, MN 56303
Phone (320) 255-5657
1900 Centracare Cir
Ste 2475
Saint Cloud, MN 56303
Phone (320) 229-4977
110 2nd St S
Ste 104
Waite Park, MN 56387
Phone (320) 259-9375
Interoperability endpoints
- bsmith12161@direct.centracare.com
Organizations & group practices 9
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.
-
- General Acute Care Hospital
- Saint Cloud, MN
- NPI 1043269798
-
- Critical Access Hospital
- Melrose, MN
- NPI 1720045073
-
- Critical Access Hospital
- Monticello, MN
- NPI 1275872772
-
- Multi-Specialty Clinic/Center
- Monticello, MN
- NPI 1558600874
-
- Rural Health Clinic/Center
- Melrose, MN
- NPI 1730407586
-
- Physical Therapy Clinic/Center
- Albany, MN
- NPI 1609241447
-
- Psychiatric Hospital Unit
- Saint Cloud, MN
- NPI 1932419058
-
- Multi-Specialty Clinic/Center
- Avon, CO
- NPI 1730747445
-
- Rehabilitation Hospital Unit
- Saint Cloud, MN
- NPI 1619934627
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Saint Cloud, MN
- NPI 1811150618
-
- General Acute Care Hospital
- Saint Cloud, MN
- NPI 1043269798
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Saint Cloud, MN
- NPI 1467615294
-
- General Acute Care Hospital
- Saint Cloud, MN
- NPI 1841502929
-
- Psychiatric Hospital Unit
- Saint Cloud, MN
- NPI 1932419058
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739318400000",
"number": "1912108648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4330",
"city": "AVON",
"state": "CO",
"postal_code": "816204330",
"telephone_number": "970-926-6340",
"fax_number": "970-926-6348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "439 EDWARDS ACCESS RD",
"city": "EDWARDS",
"state": "CO",
"postal_code": "816325634",
"telephone_number": "970-445-2489",
"fax_number": "970-470-6510"
}
],
"practiceLocations": [
{
"address_1": "1406 6th Avenue North",
"address_2": "St. Cloud Hospital",
"address_purpose": "LOCATION",
"city": "St. Cloud",
"state": "MN",
"postal_code": "56303",
"country_code": "US",
"telephone_number": "320-251-2700",
"fax_number": "320-229-5109",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "BRANDON",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "RN, MSN, APRN-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-30",
"last_updated": "2025-02-12",
"certification_date": "2025-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "364SP0809X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
"state": "MN",
"license": "R1612293",
"primary": false
},
{
"code": "364SP0809X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
"state": "MN",
"license": "R161229-3",
"primary": false
},
{
"code": "364SP0809X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
"state": "CO",
"license": "0996112",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edwards, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.