GEORGE BRUMMELL (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1114693181

GEORGE BRUMMELL (PMHNP-BC) is a healthcare provider. based in Carthage, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. AP61194142 (WA). The NPI Number for GEORGE BRUMMELL (PMHNP-BC) is 1114693181

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
GEORGE BRUMMELL (PMHNP-BC)
NPI
1114693181
Phone
(217) 357-6888
Address
1450 N COUNTY ROAD 2050 E
Enumeration Date
19 August 2021
Last Update Date
3 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2173578500
Graduation Year
2021 (5 years ago)
PAC ID
3971909540
Group Practice PAC ID
0244134682
Professional Enrollment ID
I20230309000726
Address ID
IL623210160CA1454XRDXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:4State licenses:2Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for GEORGE BRUMMELL (PMHNP-BC)

  • 1450 N COUNTY ROAD 2050 E

    CARTHAGE, IL 623213551

    Phone: (217) 357-6888

    Type: Mailing

  • 17328 MCELROY RD

    ARLINGTON, WA 982234605

    Phone:

    Type: Mailing

  • 3956 156TH ST. NE

    MARYSVILLE, WA 98271

    Phone: (844) 202-5556

    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: 2023-03-09

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
I20230309000726INurse PractitionerILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62321)

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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: 0244134682View full group profile
NameSpecialtyState
Nurse PractitionerIL
O B S T E T R I C S/ G Y N E C O L O G YIL
Family Practice, Geriatric MedicineIL
Nurse PractitionerIA
Physician AssistantIL
Orthopedic SurgeryIL
Nurse PractitionerIL
Family Practice, Emergency MedicineIL
Family PracticeIL
Mental Health CounselorMO

Reviews

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Frequently asked questions

How is GEORGE BRUMMELL (PMHNP-BC) identified in CMS data?
CMS-hosted NPPES data lists GEORGE BRUMMELL (PMHNP-BC) with NPI 1114693181.
Is GEORGE BRUMMELL (PMHNP-BC) listed as active for patients and plans?
The listing shows GEORGE BRUMMELL (PMHNP-BC) as active in the NPI system.
What is GEORGE BRUMMELL (PMHNP-BC) best known for clinically?
Directory data describes GEORGE BRUMMELL (PMHNP-BC) with Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect GEORGE BRUMMELL (PMHNP-BC) on a map?
Expect Carthage, Illinois as a primary anchor for GEORGE BRUMMELL (PMHNP-BC) unless the record lists multiple sites.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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