Brandy Carr Wilson, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

903719 Issued in MS

Practice address

1167 E Broad St
Monticello, MS 39654-7682

Phone

(601) 587-1433

Fax

(601) 587-1625

NPI assigned

Dec 18, 2019

Last updated

Mar 29, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southwest Mississippi Regional Medical CenterGroup PAC ID 5193633907, shared by 11 NPIs, 82 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Luke Home Health Services Home health agency, McComb, MS, CCN 257124
• Lawrence County Hospital Cah Hospital, Monticello, MS, CCN 251305
• King's Daughters Medical Center-Brookhaven Hospital, Brookhaven, MS, CCN 250057

Merit-based Incentive Payment System (MIPS)

Final score

89.09 of 100Reported as apm

Quality

73.43

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19473/brand/1/csg/1/fhir/r4

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.

• Caring Hands Family Practice, LLC

  • Primary Care Nurse Practitioner
  • Monticello, MS
  • NPI 1861959256
  Medicare reassignment NPD
• Southwest Mississippi Regional Medical Center

  dba Lawrence County Family Practice

  • Rural Health Clinic/Center
  • Monticello, MS
  • NPI 1245289172
  Medicare reassignment NPD
• Southwest Mississippi Regional Medical Center

  dba McComb OB-GYN

  • Obstetrics & Gynecology Physician
  • McComb, MS
  • NPI 1982174488
  Medicare reassignment NPD
• Southwest Mississippi Regional Medical Center

  dba Summit Family Practice Rural Health Clinic

  • Rural Health Clinic/Center
  • Summit, MS
  • NPI 1154008811
  NPD
• Southwest Mississippi Regional Medical Center

  dba SMRMC Emergency Physicians

  • Emergency Medicine Physician
  • McComb, MS
  • NPI 1306412986
  NPD
• Southwest Mississippi Regional Medical Center

  dba Lawrence County Hospitalists

  • Hospitalist Physician
  • Monticello, MS
  • NPI 1497468151
  NPD
• Southwest Mississippi Regional Medical Center

  dba Premier Medical Clinic

  • Rural Health Clinic/Center
  • McComb, MS
  • NPI 1962451831
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• King's Daughters Medical Center

  • General Acute Care Hospital
  • Brookhaven, MS
  • NPI 1972503464
  Care Compare affiliation
• Southwest Mississippi Regional Medical Center

  dba Lawrence County Hospital

  • Critical Access Hospital
  • Monticello, MS
  • NPI 1932211851
  Care Compare affiliation
• St. Luke Home Health Services, LLC

  • Home Health Agency
  • McComb, MS
  • NPI 1255401642
  Care Compare affiliation

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

{
    "created_epoch": "1576627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1952949182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1884",
            "city": "MONTICELLO",
            "state": "MS",
            "postal_code": "396541884",
            "telephone_number": "601-695-2524",
            "fax_number": "601-587-1625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1167 E BROAD ST",
            "city": "MONTICELLO",
            "state": "MS",
            "postal_code": "396547682",
            "telephone_number": "601-587-1433",
            "fax_number": "601-587-1625"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "827 F E Sellers Hwy",
            "address_purpose": "LOCATION",
            "city": "Monticello",
            "state": "MS",
            "postal_code": "396549378",
            "country_code": "US",
            "telephone_number": "601-587-4648",
            "fax_number": "601-587-0613",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1065 E Broad St",
            "address_purpose": "LOCATION",
            "city": "Monticello",
            "state": "MS",
            "postal_code": "396547703",
            "country_code": "US",
            "telephone_number": "601-587-4051",
            "fax_number": "601-587-0306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "BRANDY",
        "middle_name": "CARR",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-18",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "903719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genie B Vaughan, RN, CFNP
• Belinda Waldrop, RN
• Karla Marie Wallace, FNP-C
• Joe A Ward, M.D.
• Katelyn White

• Family Nurse Practitioner in Monticello, MS
• Providers in Monticello, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; 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.

Verify at the official NPI Registry.