Cheyanne Nicole Brandt, MD
Individual provider Active NPI Psychiatry Physician · Moosic, PA
NPI 1942829288 · NPPES record last updated May 31, 2024
Key facts
- NPI
- 1942829288
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- MD485227 (PA)
- Practice address
- 60 Glenmaura National Blvd
Moosic, PA 18507-2101 - Phone
- (570) 301-5000
- Fax
- (570) 704-5073
- NPI assigned
- Apr 15, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 10
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Geisinger Clinic
Glenmaura Holdings, LLC
Practice addresses (Care Compare)
1000 E Mountain Dr
Wilkes Barre, PA 18711-0001
Phone (570) 826-7850
60 Glenmaura National Blvd
Moosic, PA 18507-0000
Phone (570) 301-5000
Hospital & facility affiliations
- Geisinger-Community Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240723000387 | PA | Practitioner - Psychiatry | 8426471095 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RTL200973 | NC | MD | Psychiatry Physician |
| MD485227 | PA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geisinger Clinic | Current | Accepting new patients | |
| Geisinger Clinic | Current |
Accepting new patients | |
| Geisinger Clinic | Current |
Accepting new patients | |
| Glenmaura Holdings, LLC | Current |
Accepting new patients |
Locations
100 N Academy Ave
Danville, PA 17822
60 Glenmaura National Blvd
Moosic, PA 18507
Phone (570) 301-5000
1000 E Mountain Dr
Wilkes Barre, PA 18711
Phone (570) 826-7300
Interoperability endpoints
- cbrandt301056@direct.vidanthealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Psychiatry Physician | 2084P0800X | MD485227 | PA | Yes |
| Psychiatry Physician | 2084P0800X | RTL200973 | NC |
Addresses
Primary practice location
60 Glenmaura National Blvd
Moosic, PA 18507-2101
Mailing address
2100 Stantonsburg Rd
Greenville, NC 27834-2818
Other practice location 1
2100 Stantonsburg Rd
Greenville, NC 27834-2818
Phone (252) 744-1406
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cbrandt301056@direct.vidanthealth.com |
Other providers in Moosic, PA
- Megan Marie Birk
- Amy P Blitz
- Michael Henry Sullivan Bohr
- Braceys Supermarket Inc Moosic
- Megan Elizabeth Brack
- Tarah Brennan
- Bruno Plastic Surgery, PC
- Anthony D. Bruno II
- Danielle Burge
- Ethan Calafut
All providers in Moosic, PA · Psychiatry Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 31, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.