BRANDY BURT (APN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1902575145

BRANDY BURT (APN) is a healthcare provider. based in Goshen, Indiana. specializing in NURSE PRACTITIONER. They hold the professional credentials APN. They hold a License No. 999999999 (IN). The NPI Number for BRANDY BURT (APN) is 1902575145

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
BRANDY BURT (APN)
NPI
1902575145
Phone
(574) 533-1234
Address
PO BOX 809
Enumeration Date
10 September 2021
Last Update Date
10 September 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5745331234
Graduation Year
2021 (5 years ago)
PAC ID
9638569437
Group Practice PAC ID
6002801065
Professional Enrollment ID
I20211210000570
Address ID
IN465289365GO330XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

8,192 NURSE PRACTITIONER in IN

Provider Addresses for BRANDY BURT (APN)

  • PO BOX 809

    GOSHEN, IN 465270809

    Phone: (574) 533-1234

    Fax: (574) 537-2652

    Type: Mailing

  • 330 LAKEVIEW DR

    GOSHEN, IN 465287000

    Phone: (574) 533-1234

    Fax: (574) 537-2652

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 26 Open Payments records for all available years, with a total value of $434.

Total Amount is formed as General ($434) + Research ($0) + Ownership ($0) = $434.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: ABBVIE INC. ($195).

Total Amount

$434

General + Research + Ownership

Payments

26

Total payment records

General Amount

$434

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2021-12-10

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
I20211210000570INurse PractitionerINTBD

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 minutes5013$0
View full utilization report →

Insurance plans in this area (ZIP 46527)

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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: 6002801065View full group profile
NameSpecialtyState
Mental Health CounselorIN
-IN
Clinical Social WorkerIN
Clinical Social WorkerIN
-IN
P S Y C H I A T R YIN
Clinical PsychologistIN
Nurse PractitionerIN
Clinical Social WorkerIN
Nurse PractitionerIN

Reviews

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Frequently asked questions

Is BRANDY BURT (APN) listed with a National Provider Identifier?
Yes — BRANDY BURT (APN) has NPI 1902575145 on file in the registry.
Is BRANDY BURT (APN) still an active registrant?
BRANDY BURT (APN) carries an active NPI according to the public dataset.
What expertise is attributed to BRANDY BURT (APN)?
BRANDY BURT (APN)'s specialty line reads Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is BRANDY BURT (APN) located near Goshen?
BRANDY BURT (APN) currently maps to Goshen, Indiana in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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