KRISTIN BRANTLEY (NP) – Nurse Practitioner, NPI 1073199204

KRISTIN BRANTLEY (NP) is a healthcare provider. based in Lyons, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. RN227376 (GA). The NPI Number for KRISTIN BRANTLEY (NP) is 1073199204

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
KRISTIN BRANTLEY (NP)
NPI
1073199204
Phone
(912) 526-9355
Address
110 RT STANLEY SENIOR PL
Enumeration Date
18 March 2021
Last Update Date
21 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9125269355
Graduation Year
2021 (5 years ago)
PAC ID
8123437134
Group Practice PAC ID
6002223484
Professional Enrollment ID
I20210504001031
Address ID
GA304365623LY110XXPLAC600
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for KRISTIN BRANTLEY (NP)

  • 110 RT STANLEY SENIOR PL

    LYONS, GA 304360407

    Phone: (912) 526-9355

    Type: Mailing

  • 110 R. T. STANLEY, SR. PLACE

    LYONS, GA 304365623

    Phone: (912) 526-9355

    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: 2021-05-04

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210504001031INurse PractitionerGATBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes257128$0
99497Advance care planning, first 30 minutes6565$0
G0446Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes5959$0
99213Established patient office or other outpatient visit, 20-29 minutes4235$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit3939$0
View full utilization report →

Insurance plans in this area (ZIP 30436)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002223484View full group profile
NameSpecialtyState
Nurse PractitionerGA
Radiation OncologyGA
Cardiovascular Disease (Cardiology)GA
Certified Nurse Midwife (Cnm)GA
U R O L O G YGA
Gastroenterology, Internal MedicineFL
O B S T E T R I C S/ G Y N E C O L O G YGA
Pulmonary Disease, Internal MedicineGA
Nurse PractitionerGA
Internal MedicineFL

Reviews

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Frequently asked questions

What is the standard ID for KRISTIN BRANTLEY (NP) in the U.S.?
In the U.S., KRISTIN BRANTLEY (NP) is identified by NPI 1073199204.
Does the public listing show KRISTIN BRANTLEY (NP) as active?
KRISTIN BRANTLEY (NP)'s NPI record reflects an active status in NPPES.
How should patients interpret KRISTIN BRANTLEY (NP)'s specialty?
The extract shows Nurse Practitioner for KRISTIN BRANTLEY (NP). Clinical services aligned with this taxonomy classification.
Which community is linked to KRISTIN BRANTLEY (NP)?
KRISTIN BRANTLEY (NP) shows a connection to Lyons, Georgia in registry-derived data.
Can I export KRISTIN BRANTLEY (NP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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