BRENT HASTY – Clinical Social Worker, NPI 1669941860

BRENT HASTY is a healthcare provider. based in Mount vernon, Kentucky. specializing in CLINICAL SOCIAL WORKER. They hold a License No. 253497 (KY). The NPI Number for BRENT HASTY is 1669941860

Main info

Male
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
BRENT HASTY
NPI
1669941860
Phone
(606) 256-7466
Address
140 NEWCOMB AVE
Enumeration Date
16 November 2018
Last Update Date
16 November 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2022 (4 years ago)
PAC ID
1254708589
Group Practice PAC ID
6103727433
Professional Enrollment ID
I20221031000344
Address ID
KY404562728MO145XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

1,195 CLINICAL SOCIAL WORKER in KY

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Provider Addresses for BRENT HASTY

  • 140, Newcomb Avenue, Mount Vernon, Rockcastle County, Kentucky, 40456, United States

    MOUNT VERNON, KY 404562725

    Phone: (606) 256-7466

    Fax: (606) 256-3562

    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: 2022-10-31

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
I20221031000344IClinical Social WorkerKYTBD

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 40456)

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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: 6103727433View full group profile
NameSpecialtyState
Physician AssistantKY
Nurse PractitionerKY
Nurse PractitionerKY
Clinical Social WorkerKY
Hematology/Oncology, Internal MedicineKY
Physician AssistantKY
N E U R O L O G YKY
Nurse PractitionerKY
-KY
Physician AssistantKY

Reviews

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Frequently asked questions

What unique ID ties claims to BRENT HASTY?
NPI 1669941860 is assigned to BRENT HASTY under the national enumeration system.
Is BRENT HASTY active in the national directory?
BRENT HASTY's public NPI profile is in an active state.
Does BRENT HASTY list a primary specialty?
If you are matching referrals, note Clinical Social Worker for BRENT HASTY. Clinical services aligned with this taxonomy classification.
Where is BRENT HASTY's primary listing?
We display Mount Vernon, Kentucky because that is what the record indicates for BRENT HASTY.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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