Brenton A Hallden, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3013698 Issued in KY

Practice address

1520 4TH St
Lewisport, KY 42351-2529

Phone

(270) 295-3890

NPI assigned

Aug 13, 2019

Last updated

May 7, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in KY, IN2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Deaconess Clinic IncGroup PAC ID 3375610116, shared by 10 NPIs, 411 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Deaconess Hospital Inc Hospital, Evansville, IN, CCN 150082
• Owensboro Health Regional Hospital Hospital, Owensboro, KY, CCN 180038

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bhallden225147@direct.deaconess.com

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.

• Ack Healthcare Management, LLC

  dba Saint Camillus Urgent Care

  • Nurse Practitioner
  • Lewisport, KY
  • NPI 1154748986
  Medicare reassignment NPD
• Ak Healthcare Management Inc

  dba Kentucky Health and Wellness

  • Family Nurse Practitioner
  • Owensboro, KY
  • NPI 1053644401
  Medicare reassignment NPD
• Deaconess Clinic, Inc

  dba Deaconess Clinic I

  • Family Medicine Physician
  • Morganfield, KY
  • NPI 1891941688

  Nurse Practitioner

  Medicare reassignment NPD
• Deaconess Clinic Inc.

  • Internal Medicine Physician
  • Evansville, IN
  • NPI 1619123585

  Nurse Practitioner

  Medicare reassignment NPD
• Ack Healthcare Management LLC

  dba Saint Camillus Urgent Care

  • Rural Health Clinic/Center
  • Leitchfield, KY
  • NPI 1356927826
  NPD
• Ack Healthcare Management LLC

  dba St. Camillus Urgent Care

  • Nurse Practitioner
  • Leitchfield, KY
  • NPI 1700395654
  NPD
• Deaconess Clinic Inc

  • Pediatrics Physician
  • Washington, IN
  • NPI 1356132310

  Nurse Practitioner

  NPD
• Deaconess Clinic, Inc

  dba Deaconess Clinic I

  • Family Medicine Physician
  • Evansville, IN
  • NPI 1013274471

  Nurse Practitioner

  NPD
• Deaconess Clinic, Inc

  dba Deaconess Clinic II

  • Hematology & Oncology Physician
  • Newburgh, IN
  • NPI 1356577985

  Nurse Practitioner

  NPD
• Deaconess Clinic, Inc

  dba Deaconess Clinic I

  • Rural Health Clinic/Center
  • Petersburg, IN
  • NPI 1831345792

  Nurse Practitioner

  NPD (past)

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

• Owensboro Health Inc

  dba Owensboro Health Regional Hospital

  • General Acute Care Hospital
  • Owensboro, KY
  • NPI 1285613612
  Care Compare affiliation
• Deaconess Hospital Inc

  dba The Women's Hospital

  • General Acute Care Hospital
  • Newburgh, IN
  • NPI 1780535427
  Care Compare affiliation
• Deaconess Hospital, Inc.

  • General Acute Care Hospital
  • Evansville, IN
  • NPI 1053361642
  Care Compare affiliation

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

{
    "created_epoch": "1565654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620345600000",
    "number": "1992351290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1099",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423021099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 4TH ST",
            "city": "LEWISPORT",
            "state": "KY",
            "postal_code": "423512529",
            "telephone_number": "270-295-3890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLDEN",
        "first_name": "BRENTON",
        "middle_name": "A",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-13",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3013698",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71011067A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3013698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Jo Emmick, ARNP
• Estes Behavioral Health, LLC
• Adria Leigh Eubanks, PHARM.D.
• Family Health Care Associates 6 Limited Liability Company
• George Marshall Counseling, PLLC
• Hancock Health LLC
• HBR Lewisport, LLC (Heartland Villa Center)
• Heartland Villa Health Center LLC (Heartland Villa Center)
• Heartland Villa Ilf Health Center LLC (Heartland Villa Center)
• Hollimere Health PLLC

• Family Nurse Practitioner in Lewisport, KY
• Providers in Lewisport, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; 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.