BRANDON EMRY – Nurse Practitioner, NPI 1164938007
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,192 NURSE PRACTITIONER in IN
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Provider Addresses for BRANDON EMRY
3702 NEW VISION DR BLDG B
FORT WAYNE, IN 468451703
Phone: (260) 266-6013
Fax: (260) 458-5831
Type: Mailing
Parkview Circle, Fort Wayne, Allen County, Indiana, 46845, United States
FORT WAYNE, IN 468451673
Phone: (260) 425-6780
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 19 Open Payments records for all available years, with a total value of $403.
Total Amount is formed as General ($403) + Research ($0) + Ownership ($0) = $403.
Last reported payment date: 2024-11-26 • Largest payer in this snapshot: GENZYME CORPORATION ($145).
Total Amount
$403
General + Research + Ownership
Payments
19
Total payment records
General Amount
$403
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GENZYME CORPORATION | $145 |
| AERIN MEDICAL INC. | $60 |
| Optinose US, Inc. | $44 |
| Indivior Inc. | $28 |
| Otsuka America Pharmaceutical, Inc. | $27 |
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: 2018-03-14
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 |
|---|---|---|---|---|
| I20180314001055 | I | Nurse Practitioner | IN | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 97 | 86 | $0 |
| 69210 | Removal of impacted ear wax | 90 | 85 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 60 | 60 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 50 | 38 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 29 | 29 | $0 |
Insurance plans in this area (ZIP 46845)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IN | |
| O T O L A R Y N G O L O G Y | IN | |
| O T O L A R Y N G O L O G Y | IN | |
| - | IN | |
| Qualified Audiologist | IN | |
| Qualified Speech Language Pathologist | IN | |
| O T O L A R Y N G O L O G Y | IN | |
| O T O L A R Y N G O L O G Y | IN | |
| O T O L A R Y N G O L O G Y | FL | |
| - | IN |
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