GABRIELLE BROGAN (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1417795303

GABRIELLE BROGAN (PMHNP) is a healthcare provider. based in Manhattan, Kansas. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP. They hold a License No. 53-833384-071 (KS). The NPI Number for GABRIELLE BROGAN (PMHNP) is 1417795303

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
GABRIELLE BROGAN (PMHNP)
NPI
1417795303
Phone
(785) 775-0221
Address
1133 COLLEGE AVE BUILDING A
Enumeration Date
16 July 2024
Last Update Date
24 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2024 (2 years ago)
PAC ID
1052851755
Group Practice PAC ID
3577909431
Professional Enrollment ID
I20240909003654
Address ID
KS665022781MA1133XEXXX501
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

3,551 NURSE PRACTITIONER in KS

Provider Addresses for GABRIELLE BROGAN (PMHNP)

  • 1133 COLLEGE AVE BUILDING A

    SUITE A213

    MANHATTAN, KS 66502

    Phone: (785) 775-0221

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $124.

Total Amount is formed as General ($124) + Research ($0) + Ownership ($0) = $124.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($58).

Total Amount

$124

General + Research + Ownership

Payments

6

Total payment records

General Amount

$124

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2024-09-09

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
I20240909003654INurse PractitionerKSTBD

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 66502)

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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: 3577909431View full group profile
NameSpecialtyState
Marriage And Family TherapistKS
Nurse PractitionerTX
Nurse PractitionerKS
Clinical PsychologistKS
Clinical Social WorkerKS
P S Y C H I A T R YKS
Nurse PractitionerKS
Mental Health CounselorKS
P S Y C H I A T R YTX
Mental Health CounselorKS

Reviews

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Frequently asked questions

Does GABRIELLE BROGAN (PMHNP) have a public NPI I can cite?
Public records show GABRIELLE BROGAN (PMHNP) under NPI 1417795303.
Is GABRIELLE BROGAN (PMHNP)'s NPI status active today?
Active status means GABRIELLE BROGAN (PMHNP)'s NPI record is not deactivated in the public file.
What services align with GABRIELLE BROGAN (PMHNP)'s listing?
GABRIELLE BROGAN (PMHNP)'s public classification highlights Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to GABRIELLE BROGAN (PMHNP)?
The directory associates GABRIELLE BROGAN (PMHNP) with Manhattan, Kansas. Check all listed addresses for suites or satellite offices.
Who maintains GABRIELLE BROGAN (PMHNP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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