MR. BRANDON WEBSTER (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1164067922
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,509 NURSE PRACTITIONER in AZ
Provider Addresses for MR. BRANDON WEBSTER (PMHNP)
17806 N 13th Pl
Phoenix, AZ 850221202
Phone: (412) 609-7862
Type: Location
610 E Baseline Rd Ste 5
Phoenix, AZ 850426536
Phone: (602) 230-7373
Fax: (602) 441-5836
Type: Location
4601 E KAREN DR
PHOENIX, AZ 850324811
Phone: (412) 609-7862
Type: Mailing
3101 N CENTRAL AVE STE 550
PHOENIX, AZ 850122635
Phone: (602) 473-2928
Fax: (602) 682-7455
Type: Mailing
750 E THUNDERBIRD RD STE 1
PHOENIX, AZ 850225306
Phone: (602) 230-7373
Fax: (602) 218-6383
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-11-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20211130001451 | I | Nurse Practitioner | AZ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 85022)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | AZ | |
| Mental Health Counselor | AZ | |
| - | AZ | |
| Nurse Practitioner | AZ | |
| - | AZ | |
| Mental Health Counselor | AZ | |
| Nurse Practitioner | AZ | |
| Physician Assistant | AZ | |
| Physician Assistant | AZ | |
| Clinical Social Worker | AZ |
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