MISS BRENDA MASTIN (FNP) – Family Nurse Practitioner, NPI 1053742783

MISS BRENDA MASTIN (FNP) is a healthcare provider. based in Covington, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 3008379 (KY). The NPI Number for MISS BRENDA MASTIN (FNP) is 1053742783

Main info

Female
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
MISS BRENDA MASTIN (FNP)
NPI
1053742783
Phone
(859) 415-3099
Address
9188 PAMPAS CT
Enumeration Date
5 December 2013
Last Update Date
5 December 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5137521999
Graduation Year
2005 (21 years ago)
PAC ID
9436382066
Group Practice PAC ID
6608052196
Professional Enrollment ID
I20220304001389
Address ID
OH452451266CI4530XBLVD301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

7,343 NURSE PRACTITIONER in KY

Provider Addresses for MISS BRENDA MASTIN (FNP)

  • 9188 PAMPAS CT

    COVINGTON, KY 410154213

    Phone: (859) 415-3099

    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)

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: 2022-03-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20220303002263INurse PractitionerKYTBD
I20220304001389INurse PractitionerOHTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes4838$0
99203New patient office or other outpatient visit, 30-44 minutes4646$0
87811Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)3333$0
87804Detection test by immunoassay with direct visual observation for influenza virus2012$0
87880Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)1616$0
View full utilization report →

Insurance plans in this area (ZIP 41015)

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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: 6608052196View full group profile
NameSpecialtyState
-KY
Physician AssistantOH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerKY
Nurse PractitionerOH
-OH
Nurse PractitionerOH
-OH

Reviews

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Frequently asked questions

Is there an official ID for MISS BRENDA MASTIN (FNP) in U.S. healthcare records?
The official identifier for MISS BRENDA MASTIN (FNP) is NPI 1053742783.
Is MISS BRENDA MASTIN (FNP) still an active registrant?
MISS BRENDA MASTIN (FNP) carries an active NPI according to the public dataset.
What clinical focus is listed for MISS BRENDA MASTIN (FNP)?
At a glance, MISS BRENDA MASTIN (FNP) is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MISS BRENDA MASTIN (FNP) located near Covington?
MISS BRENDA MASTIN (FNP) currently maps to Covington, Kentucky in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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