BRANDON GARY ALLEN (FNP-C, PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1073091963

BRANDON GARY ALLEN (FNP-C, PMHNP-BC) is a healthcare provider. based in Bailey, Mississippi. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C, PMHNP-BC. They hold a License No. 876372 (MS). The NPI Number for BRANDON GARY ALLEN (FNP-C, PMHNP-BC) is 1073091963

Main info

Male
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
BRANDON GARY ALLEN (FNP-C, PMHNP-BC)
NPI
1073091963
Phone
(601) 616-6037
Address
3601B ESPEY HEDGEPETH RD
Enumeration Date
1 August 2018
Last Update Date
17 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6014909410
Graduation Year
2018 (8 years ago)
PAC ID
2567798077
Group Practice PAC ID
9234043712
Professional Enrollment ID
I20190722001754
Address ID
MS393017594ME2402XRDXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:7State licenses:2Digital endpointsOther names

4,566 NURSE PRACTITIONER in MS

Provider Addresses for BRANDON GARY ALLEN (FNP-C, PMHNP-BC)

  • 3601B ESPEY HEDGEPETH RD

    BAILEY, MS 393209580

    Phone: (601) 616-6037

    Type: Mailing

  • 6405 Hwy 45 S

    Meridian, MS 39301

    Phone: (601) 282-3271

    Fax: (855) 852-1209

    Type: Location

  • 2402A LONG CREEK RD

    MERIDIAN, MS 393017594

    Phone: (601) 490-9410

    Type: Mailing

  • 6405 HWY 45 S

    MERIDIAN, MS 39301

    Phone: (601) 282-3271

    Fax: (855) 852-1209

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 31 Open Payments records for all available years, with a total value of $1,387.

Total Amount is formed as General ($1,387) + Research ($0) + Ownership ($0) = $1,387.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: ABBVIE INC. ($566).

Total Amount

$1,387

General + Research + Ownership

Payments

31

Total payment records

General Amount

$1,387

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

Latest reported date

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: 2019-07-22

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
I20190722001754INurse PractitionerMSTBD

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
J1100Injection, dexamethasone sodium phosphate, 1 mg5213$0
99214Established patient office or other outpatient visit, 30-39 minutes4840$0
96372Injection of drug or substance under skin or into muscle1918$0
View full utilization report →

Insurance plans in this area (ZIP 39320)

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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: 9234043712View full group profile
NameSpecialtyState
Nurse PractitionerMS
Diagnostic RadiologyMS
Diagnostic RadiologyWI
Nurse PractitionerMS
General Surgery, Critical Care (Intensivists)MS
U R O L O G YNC
Gastroenterology, Internal MedicineMS
O B S T E T R I C S/ G Y N E C O L O G YOH
Nurse PractitionerMS
Orthopedic SurgerySD

Reviews

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Frequently asked questions

Is BRANDON GARY ALLEN (FNP-C, PMHNP-BC) listed with a National Provider Identifier?
Yes — BRANDON GARY ALLEN (FNP-C, PMHNP-BC) has NPI 1073091963 on file in the registry.
Active or inactive — what applies to BRANDON GARY ALLEN (FNP-C, PMHNP-BC)?
You should see BRANDON GARY ALLEN (FNP-C, PMHNP-BC) as active in CMS-hosted NPPES data.
What kind of doctor is BRANDON GARY ALLEN (FNP-C, PMHNP-BC)?
BRANDON GARY ALLEN (FNP-C, PMHNP-BC) is associated with Psychiatric/Mental Health Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for BRANDON GARY ALLEN (FNP-C, PMHNP-BC)?
Travel planning: use Bailey, Mississippi as the reference point for BRANDON GARY ALLEN (FNP-C, PMHNP-BC), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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