REBECCA BRANDENBURG (APRN- CNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1104393925

REBECCA BRANDENBURG (APRN- CNP) is a healthcare provider. based in Irvine, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN- CNP. They hold a License No. 3012601 (KY). The NPI Number for REBECCA BRANDENBURG (APRN- CNP) is 1104393925

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
REBECCA BRANDENBURG (APRN- CNP)
NPI
1104393925
Phone
(606) 717-1024
Address
110 River Dr
Enumeration Date
30 October 2018
Last Update Date
26 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8593282473
Graduation Year
2018 (8 years ago)
PAC ID
8426392333
Group Practice PAC ID
6901279918
Professional Enrollment ID
I20181204002107
Address ID
KY404759392RI950XXRDXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

7,347 NURSE PRACTITIONER in KY

Provider Addresses for REBECCA BRANDENBURG (APRN- CNP)

  • 110 River Dr

    Irvine, KY 403361118

    Phone: (606) 717-1024

    Type: Location

  • 1010 MAIN ST S

    MC KEE, KY 404477089

    Phone: (859) 626-7700

    Fax: (859) 626-7890

    Type: Mailing

  • Saint Joseph Berea, 305, Estill Street, Berea, Madison County, Kentucky, 40403, United States

    BEREA, KY 404031742

    Phone: (859) 985-1415

    Fax: (859) 986-6752

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $131.

Total Amount is formed as General ($131) + Research ($0) + Ownership ($0) = $131.

Last reported payment date: 2024-08-21 • Largest payer in this snapshot: ABBVIE INC. ($131).

Total Amount

$131

General + Research + Ownership

Payments

2

Total payment records

General Amount

$131

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-21

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$131
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: 2018-12-04

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
I20181204002107INurse PractitionerKYTBD

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 40336)

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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: 6901279918View full group profile
NameSpecialtyState
Nurse PractitionerKY
Mental Health CounselorKY
Clinical Social WorkerKY
Nurse PractitionerTN
Mental Health CounselorKY
Clinical Social WorkerKY

Reviews

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Frequently asked questions

How do I look up REBECCA BRANDENBURG (APRN- CNP) by NPI?
Use NPI 1104393925 when you need to reference REBECCA BRANDENBURG (APRN- CNP) in forms, claims, or directories.
Is REBECCA BRANDENBURG (APRN- CNP)'s NPI currently valid?
The extract we use shows REBECCA BRANDENBURG (APRN- CNP) as active.
Can you summarize REBECCA BRANDENBURG (APRN- CNP)'s specialty in plain language?
Clinically, the directory lists REBECCA BRANDENBURG (APRN- CNP) with Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for REBECCA BRANDENBURG (APRN- CNP)?
We surface Irvine, Kentucky for REBECCA BRANDENBURG (APRN- CNP) based on available NPPES addresses.
Is REBECCA BRANDENBURG (APRN- CNP) a real provider?
This page reflects official NPPES data for NPI 1104393925. Always confirm identity and privileges with the practice and licensing boards.

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