Individual provider Active NPI

Brandon Rebbeca Jeffries, MSN, FNP-C

  • Family Nurse Practitioner
  • Hannibal, MO
National Provider Identifier
1952919656
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2020022386 Issued in MO
Practice address
6500 Hospital Dr
Hannibal, MO 63401-6890
Phone
(573) 629-3500
Fax
(573) 629-5889
NPI assigned
Jul 19, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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 2020022386 MO Primary

Addresses

Primary practice location

6500 Hospital Dr
Hannibal, MO 63401-6890

Mailing address

PO Box 551
Hannibal, MO 63401-0551
Phone (573) 629-3500

Other practice location 1

328 Munger Ln
Hannibal, MO 63401-2361
Phone (573) 221-9122

Other names 1

  • Brandy R Jeffries Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20200807001687 MO Practitioner - Nurse Practitioner 2264857242 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hannibal Regional Healthcare System IncGroup PAC ID 1254236300, 256 clinicians

Practice addresses (Care Compare)

6500 Hospital Dr
Hannibal, MO 63401-6890
Phone (573) 248-1300

Hospital & facility affiliations

  • Hannibal Regional Hospital Hospital, Hannibal, MO, CCN 260025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2020022386MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hannibal Regional Healthcare System Inc CurrentSince Apr 1, 2021 Accepting new patients
Curana Health of Missouri-Kansas LLC CurrentSince Aug 5, 2020 Accepting new patients
Hannibal Regional Healthcare System, Inc CurrentSince Apr 1, 2021 Accepting new patients
Hannibal Regional Healthcare System, Inc Past Accepting new patients

Locations

8 Town Center Dr
Bowling Green, MO 63334
Phone (573) 324-2241

1802 Elm St
Canton, MO 63435
Phone (573) 288-5360

3650 Stardust Dr
Hannibal, MO 63401
Phone (573) 231-0660

6500 Hospital Dr
Hannibal, MO 63401
Phone (573) 629-3400

328 Munger Ln
Hannibal, MO 63401
Phone (573) 221-9122

6500 Hospital Dr
#2F
Hannibal, MO 63401

2323 E 63rd St
Kansas City, MO 64130
Phone (816) 444-8161

400 SW Longview Blvd
Lees Summit, MO 64081
Phone (816) 761-3944

400 SW Longview Blvd
Ste 200
Lees Summit, MO 64081
Phone (816) 477-7200

211 S 3rd St
Louisiana, MO 63353
Phone (573) 754-5555

2150 W Randolph St
Saint Charles, MO 63301
Phone (636) 946-4966

11278 Schuetz Rd
Saint Louis, MO 63146
Phone (314) 991-4066

400 S Center St
Shelbina, MO 63468
Phone (573) 588-4131

1101 W Clay Rd
Versailles, MO 65084
Phone (573) 378-5312

Interoperability endpoints

  • Direct secure messaging: brandonjeffries@hrmg.allscriptsdirect.net
  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10040602

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1595116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1952919656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 551",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634010551",
            "telephone_number": "573-629-3500",
            "fax_number": "573-406-5889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 HOSPITAL DR",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634016890",
            "telephone_number": "573-629-3500",
            "fax_number": "573-629-5889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "328 Munger Ln",
            "address_purpose": "LOCATION",
            "city": "Hannibal",
            "state": "MO",
            "postal_code": "634012361",
            "country_code": "US",
            "telephone_number": "573-221-9122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEFFRIES",
        "first_name": "BRANDON",
        "middle_name": "REBBECA",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-19",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2020022386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRANDY",
            "last_name": "JEFFRIES",
            "middle_name": "R",
            "credential": "MSN, NP-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hannibal, MO

Sources for this page

Verify at the official NPI Registry.