Organization Active NPI

Brighter Minds PLLC

  • Family Nurse Practitioner
  • Collinsville, IL
National Provider Identifier
1912792854
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
BRIGHTER MINDS PLLC
Practice address
1408 N Bluff Rd
Collinsville, IL 62234-7302
Phone
(618) 610-2788
Fax
(618) 344-9684
NPI assigned
Apr 11, 2025
Last updated
Jul 31, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Authorized official

Name
Amanda Michelle Hemphill, FNP-BCNPI 1073973863
Title
Manager
Phone
(618) 610-2788

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

1408 N Bluff Rd
Collinsville, IL 62234-7302

Mailing address

1408 N Bluff Rd
Collinsville, IL 62234-7302
Phone (618) 610-2788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250902002578 IL Part B Supplier - Clinic/Group Practice 7214438035 Receives reassigned benefits from 1 practitioner
Practice locations: Collinsville, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1744329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753920000000",
    "number": "1912792854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 N BLUFF RD",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "622347302",
            "telephone_number": "618-610-2788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 N BLUFF RD",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "622347302",
            "telephone_number": "618-610-2788",
            "fax_number": "618-344-9684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTER MINDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-11",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A",
        "authorized_official_last_name": "HEMPHILL",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "618-610-2788",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collinsville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.