BRANDY DAVINA HENDERSON (RN,FNP, PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1316452253

BRANDY DAVINA HENDERSON (RN,FNP, PMHNP) is a healthcare provider. based in Blue ash, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials RN,FNP, PMHNP. They hold a License No. APRN.CNP.026361 (OH). The NPI Number for BRANDY DAVINA HENDERSON (RN,FNP, PMHNP) is 1316452253

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
BRANDY DAVINA HENDERSON (RN,FNP, PMHNP)
NPI
1316452253
Phone
(812) 284-2273
Address
11690 Grooms Rd
Enumeration Date
13 December 2017
Last Update Date
23 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2168316611
Graduation Year
2019 (7 years ago)
PAC ID
2365831369
Group Practice PAC ID
0446243760
Professional Enrollment ID
I20211112001470
Address ID
OH441225694BE25101BLVD302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness85
Years active:8State licenses:3Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for BRANDY DAVINA HENDERSON (RN,FNP, PMHNP)

  • 11690 Grooms Rd

    Blue Ash, OH 452421412

    Phone: (812) 284-2273

    Fax: (812) 284-2279

    Type: Location

  • 4950, Northcutt Place, Garden Apartments, Dayton, Montgomery County, Ohio, 45414, United States

    DAYTON, OH 454143840

    Phone: (937) 496-2020

    Fax: (937) 496-2016

    Type: Mailing

  • 9775 COLERAIN AVE

    CINCINNATI, OH 452511442

    Phone: (513) 853-9700

    Fax: (513) 852-8971

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $309.

Total Amount is formed as General ($309) + Research ($0) + Ownership ($0) = $309.

Last reported payment date: 2024-10-14 • Largest payer in this snapshot: Axsome Therapeutics, Inc. ($119).

Total Amount

$309

General + Research + Ownership

Payments

6

Total payment records

General Amount

$309

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-14

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: 2021-11-12

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
I20211112001470INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 45242)

Loading plans...

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: 0446243760View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the 10-digit NPI for BRANDY DAVINA HENDERSON (RN,FNP, PMHNP)?
BRANDY DAVINA HENDERSON (RN,FNP, PMHNP) — NPI 1316452253 — is the standard way to identify this listing.
Does CMS list BRANDY DAVINA HENDERSON (RN,FNP, PMHNP) as active?
Yes — BRANDY DAVINA HENDERSON (RN,FNP, PMHNP) is active in the NPI listing used on this page.
What is BRANDY DAVINA HENDERSON (RN,FNP, PMHNP)'s primary classification?
Psychiatric/Mental Health Nurse Practitioner is the headline specialty for BRANDY DAVINA HENDERSON (RN,FNP, PMHNP) here. Clinical services aligned with this taxonomy classification.
What address line appears for BRANDY DAVINA HENDERSON (RN,FNP, PMHNP)?
BRANDY DAVINA HENDERSON (RN,FNP, PMHNP)'s geographic hint is Blue Ash, Ohio in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

Similar Providers

CRYSTAL FARRELL (FNP)

Psychiatric/Mental Health Nurse Practitioner
9050 CENTRE POINT DR.
NPI: 1386864619

ANASTASIA OFEWAA GYESAW ABANKWAH (NP)

Psychiatric/Mental Health Nurse Practitioner
PO BOX 229
NPI: 1801082037
1701 SPRING ST STE B
NPI: 1356674162

ELIZABETH A ERRINGTON (CNP)

Psychiatric/Mental Health Nurse Practitioner
10123 ALLIANCE RD
NPI: 1548561749

DONNA MICHELLE HETTINGER (CNP)

Psychiatric/Mental Health Nurse Practitioner
7675 WELLNESS WAY STE 105
NPI: 1487042842

EMILY MARIE FREIMUTH (PMHNP-BC, FNP-C)

Psychiatric/Mental Health Nurse Practitioner
3095 KETTERING BLVD
NPI: 1639550981

KELLY EILEEN JEAN-LOUIS (ARNP)

Family Nurse Practitioner
1530 Lone Oak Rd
NPI: 1275086886

ANTENNIE D AULD (NP-PMH)

Nurse Practitioner
9388 Sherborn Dr
NPI: 1619499076