Individual provider Active NPI

Brena Jonsan Branch, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1952937906
Registry record updated Dec 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0995451-NP Issued in CO
Practice address
5556 Prairie Schooner Dr
Colorado Springs, CO 80923-8771
Phone
(719) 551-0628
NPI assigned
Mar 20, 2020
Last updated
Dec 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2020

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 APN.0995451-NP CO Primary

Addresses

Primary practice location

5556 Prairie Schooner Dr
Colorado Springs, CO 80923-8771

Mailing address

5556 Prairie Schooner Dr
Colorado Springs, CO 80923-8771

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address brena.branch@mvmg.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20200727001750 CO Practitioner - Nurse Practitioner 6507280369 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.0995451-NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Matthews-Vu Medical Group, P.C. CurrentSince Jun 15, 2020 Accepting new patients
Matthews-Vu Medical Group, P.C. CurrentSince Jun 15, 2020 Accepting new patients
Matthews-Vu Medical Group, P.C. Current Accepting new patients

Locations

104 Pro Rodeo Dr
Ste 100
Colorado Springs, CO 80919
Phone (719) 522-0707

4190 E Woodmen Rd
Ste 100
Colorado Springs, CO 80920
Phone (630) 328-7971

Interoperability endpoints

  • Direct secure messaging: brena.branch@mvmg.eclinicaldirectplus.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1584662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1952937906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5556 PRAIRIE SCHOONER DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809238771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5556 PRAIRIE SCHOONER DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809238771",
            "telephone_number": "719-551-0628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANCH",
        "first_name": "BRENA",
        "middle_name": "JONSAN",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-20",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0995451-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brena.branch@mvmg.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "4190 E Woodmen Rd Ste 100",
            "city": "Colorado Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "809208075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.