BRIAN HUSTAD (DNP) – Nurse Practitioner, NPI 1790401073

BRIAN HUSTAD (DNP) is a healthcare provider. based in Ooltewah, Tennessee. specializing in NURSE PRACTITIONER. They hold the professional credentials DNP. They hold a License No. 32817 (TN). The NPI Number for BRIAN HUSTAD (DNP) is 1790401073

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
BRIAN HUSTAD (DNP)
NPI
1790401073
Phone
(423) 762-1429
Address
10084 SUNNY LN
Enumeration Date
18 October 2022
Last Update Date
18 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7068583988
Graduation Year
2022 (4 years ago)
PAC ID
3678944741
Group Practice PAC ID
7012378912
Professional Enrollment ID
I20250922003129
Address ID
GA307368004RI4616XPKWY300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

10,728 NURSE PRACTITIONER in TN

Provider Addresses for BRIAN HUSTAD (DNP)

  • 10084 SUNNY LN

    OOLTEWAH, TN 373638535

    Phone: (423) 762-1429

    Type: Mailing

  • 2333 MCCALLIE AVE

    CHATTANOOGA, TN 374043258

    Phone: (423) 698-6061

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 34 Open Payments records for all available years, with a total value of $942.

Total Amount is formed as General ($942) + Research ($0) + Ownership ($0) = $942.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Medtronic, Inc. ($206).

Total Amount

$942

General + Research + Ownership

Payments

34

Total payment records

General Amount

$942

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

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: 2025-09-22

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20230127001528INurse PractitionerTNTBD
I20250922003129INurse PractitionerGATBD

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 minutes3323$0
99284Emergency department visit with moderate level of medical decision making1414$0
View full utilization report →

Insurance plans in this area (ZIP 37363)

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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: 7012378912View full group profile
NameSpecialtyState
Interventional Cardiology, Cardiovascular Disease (Cardiology)TN
Nurse PractitionerTN
Nurse PractitionerTN
Nurse PractitionerGA

Reviews

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Frequently asked questions

How do payers reference BRIAN HUSTAD (DNP)?
For BRIAN HUSTAD (DNP), use NPI 1790401073 as the unique 10-digit identifier.
Would BRIAN HUSTAD (DNP) appear as active to a payer?
You can treat BRIAN HUSTAD (DNP) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe BRIAN HUSTAD (DNP)'s focus?
For BRIAN HUSTAD (DNP), the primary taxonomy reads as Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for BRIAN HUSTAD (DNP)?
Travel planning: use Ooltewah, Tennessee as the reference point for BRIAN HUSTAD (DNP), then confirm.
Can I trust this NPI listing for BRIAN HUSTAD (DNP)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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