BRANDON PHILLIPS – Psychiatric/Mental Health Nurse Practitioner, NPI 1679973382

BRANDON PHILLIPS is a healthcare provider. based in Abingdon, Maryland. specializing in NURSE PRACTITIONER. They hold a License No. R181864 (MD). The NPI Number for BRANDON PHILLIPS is 1679973382

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
BRANDON PHILLIPS
NPI
1679973382
Phone
(443) 843-8054
Address
501 S. UNION AVE
Enumeration Date
29 August 2014
Last Update Date
29 August 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4436431508
Graduation Year
2014 (12 years ago)
PAC ID
4183846504
Group Practice PAC ID
3173556974
Professional Enrollment ID
I20141119000261
Address ID
MD210144324BE500XXDRXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

6,767 NURSE PRACTITIONER in MD

Provider Addresses for BRANDON PHILLIPS

  • 501 S. UNION AVE

    HARFORD MEMORIAL HOSPITAL

    ABINGDON, MD 21078

    Phone: (443) 843-8054

    Type: Mailing

  • 501 S UNION AVE

    HAVRE DE GRACE, MD 210783409

    Phone: (443) 843-8054

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $88.

Total Amount is formed as General ($88) + Research ($0) + Ownership ($0) = $88.

Last reported payment date: 2024-10-21 • Largest payer in this snapshot: Indivior Inc. ($51).

Total Amount

$88

General + Research + Ownership

Payments

3

Total payment records

General Amount

$88

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-21

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: 2014-11-19

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
I20141119000261INurse PractitionerMDTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes12533$0
99214Established patient office or other outpatient visit, 30-39 minutes4737$0
99204New patient office or other outpatient visit, 45-59 minutes2929$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1818$0
View full utilization report →

Insurance plans in this area (ZIP 21078)

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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: 3173556974View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to BRANDON PHILLIPS?
NPI 1679973382 is assigned to BRANDON PHILLIPS under the national enumeration system.
Is BRANDON PHILLIPS's NPI currently valid?
The extract we use shows BRANDON PHILLIPS as active.
What kind of provider is BRANDON PHILLIPS?
The page reflects Psychiatric/Mental Health Nurse Practitioner for BRANDON PHILLIPS. Clinical services aligned with this taxonomy classification.
Where is BRANDON PHILLIPS's primary listing?
We display Abingdon, Maryland because that is what the record indicates for BRANDON PHILLIPS.
Is BRANDON PHILLIPS a real provider?
This page reflects official NPPES data for NPI 1679973382. Always confirm identity and privileges with the practice and licensing boards.

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