BRANDY HILL – Family Nurse Practitioner, NPI 1093174005

BRANDY HILL is a healthcare provider. based in Tyler, Texas. specializing in NURSE PRACTITIONER. They hold a License No. AP130345 (TX). The NPI Number for BRANDY HILL is 1093174005

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
BRANDY HILL
NPI
1093174005
Phone
(903) 594-4761
Address
3820 HWY 64 W
Enumeration Date
18 February 2016
Last Update Date
18 February 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9035674692
Graduation Year
2015 (11 years ago)
PAC ID
8729386172
Group Practice PAC ID
7517385388
Professional Enrollment ID
I20160418002295
Address ID
TX751032418CA301XX243X501
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

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Provider Addresses for BRANDY HILL

  • Highway 64, Tyler, Smith County, Texas, 75704, United States

    TYLER, TX 757046924

    Phone: (903) 594-4761

    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)

CMS reports 10 Open Payments records for all available years, with a total value of $199.

Total Amount is formed as General ($199) + Research ($0) + Ownership ($0) = $199.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($100).

Total Amount

$199

General + Research + Ownership

Payments

10

Total payment records

General Amount

$199

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

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: 2016-04-18

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
I20160418002295INurse PractitionerTXTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 75704)

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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: 7517385388View full group profile
NameSpecialtyState
Emergency Medicine, Family PracticeTX
Nurse PractitionerTX
Nurse PractitionerTX
Family PracticeUT
Nurse PractitionerTX
Physician AssistantNM
Nurse PractitionerTX
Internal MedicineTX
Nurse PractitionerTX
Family PracticeTX

Reviews

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Frequently asked questions

What is BRANDY HILL's NPI number?
BRANDY HILL's NPI is 1093174005 — the number used across U.S. healthcare to identify this provider.
Would BRANDY HILL appear as active to a payer?
You can treat BRANDY HILL as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to BRANDY HILL?
BRANDY HILL's specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is BRANDY HILL located near Tyler?
BRANDY HILL currently maps to Tyler, Texas in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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