BRENT WHITLEY (APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1316317704
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for BRENT WHITLEY (APRN)
90 Madison St Ste 704
Denver, CO 802065416
Phone: (623) 233-0914
Fax: (623) 321-6050
Type: Location
651 W MINGUS AVE
COTTONWOOD, AZ 863264006
Phone: (828) 773-4681
Type: Mailing
1801 E CAMELBACK ROAD
SUITE 102, #1008
PHOENIX, AZ 85016
Phone: (623) 233-0914
Type: Mailing
6232 N 7TH ST STE 101
PHOENIX, AZ 850141850
Phone: (623) 233-0914
Fax: (623) 321-6050
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: 2024-09-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20151231001735 | I | Nurse Practitioner | AZ | TBD |
| I20240903001716 | I | Nurse Practitioner | CO | 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 80206)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | AZ | 90792 | Psychiatric diagnostic evaluation with medical services | 21 | 21 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AZ | |
| - | AZ | |
| Nurse Practitioner | AZ | |
| - | AZ | |
| Nurse Practitioner | AZ | |
| Nurse Practitioner | AZ | |
| - | AZ | |
| - | AZ | |
| - | AZ | |
| - | AZ |
Reviews
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