MARY HAZEL BRANTLEY (MSN, RN, FNP-C) – Family Nurse Practitioner, NPI 1376052860

MARY HAZEL BRANTLEY (MSN, RN, FNP-C) is a healthcare provider. based in Vernon, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN, RN, FNP-C. They hold a License No. AP135219 (TX). The NPI Number for MARY HAZEL BRANTLEY (MSN, RN, FNP-C) is 1376052860

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
MARY HAZEL BRANTLEY (MSN, RN, FNP-C)
NPI
1376052860
Phone
(940) 553-2802
Address
4301 COLLEGE DR RM 400
Enumeration Date
27 September 2017
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9405529351
Graduation Year
2017 (9 years ago)
PAC ID
5092071670
Group Practice PAC ID
5496663726
Professional Enrollment ID
I20171115000691
Address ID
TX763843132VE920XXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

22,209 NURSE PRACTITIONER in TX

Provider Addresses for MARY HAZEL BRANTLEY (MSN, RN, FNP-C)

  • 4301 COLLEGE DR RM 400

    VERNON, TX 763843166

    Phone: (940) 553-2802

    Fax: (940) 553-2893

    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 11 Open Payments records for all available years, with a total value of $345.

Total Amount is formed as General ($345) + Research ($0) + Ownership ($0) = $345.

Last reported payment date: 2024-10-25 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($219).

Total Amount

$345

General + Research + Ownership

Payments

11

Total payment records

General Amount

$345

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-25

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: 2017-11-15

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
I20171115000691INurse 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
99214Established patient office or other outpatient visit, 30-39 minutes28586$0
99215Established patient office or other outpatient visit, 40-54 minutes14956$0
96372Injection of drug or substance under skin or into muscle7828$0
99213Established patient office or other outpatient visit, 20-29 minutes6842$0
99441Telephone medical discussion with physician, 5-10 minutes4722$0
View full utilization report →

Insurance plans in this area (ZIP 76384)

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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: 5496663726View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerTX
General SurgeryTX
P O D I A T R YTX

Reviews

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Frequently asked questions

How do I look up MARY HAZEL BRANTLEY (MSN, RN, FNP-C) by NPI?
Use NPI 1376052860 when you need to reference MARY HAZEL BRANTLEY (MSN, RN, FNP-C) in forms, claims, or directories.
Does this profile mean MARY HAZEL BRANTLEY (MSN, RN, FNP-C) is currently active?
Yes — MARY HAZEL BRANTLEY (MSN, RN, FNP-C) appears active in the national provider directory.
What does MARY HAZEL BRANTLEY (MSN, RN, FNP-C) treat or focus on?
Patients typically see MARY HAZEL BRANTLEY (MSN, RN, FNP-C) under the specialty Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does MARY HAZEL BRANTLEY (MSN, RN, FNP-C) practice in Texas?
You will see Vernon, Texas on file for MARY HAZEL BRANTLEY (MSN, RN, FNP-C) alongside any extra practice locations.
How can I contact MARY HAZEL BRANTLEY (MSN, RN, FNP-C)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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