STEPHANIE BRANHAM (NP) – Family Nurse Practitioner, NPI 1285605824

STEPHANIE BRANHAM (NP) is a healthcare provider. based in Bristol, Virginia. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 0024164800 (VA). The NPI Number for STEPHANIE BRANHAM (NP) is 1285605824

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE BRANHAM (NP)
NPI
1285605824
Phone
(276) 669-5179
Address
2195 EUCLID AVE
Enumeration Date
31 January 2006
Last Update Date
18 March 2024

Doctor Profile

Medical School Name
EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Secondary Phone
2766695179
Graduation Year
2000 (26 years ago)
PAC ID
0749315414
Group Practice PAC ID
4880502707
Professional Enrollment ID
I20100319000324
Address ID
VA242013655BR2195XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

8,303 NURSE PRACTITIONER in VA

Provider Addresses for STEPHANIE BRANHAM (NP)

  • 2195 EUCLID AVE

    BRISTOL, VA 242013655

    Phone: (276) 669-5179

    Fax: (276) 466-8870

    Type: Location

  • PO BOX 729

    SALTVILLE, VA 243700729

    Phone: (276) 496-4492

    Fax: (276) 496-5923

    Type: Mailing

  • 308, West Main Street, Plasterco, Saltville, Smyth County, Virginia, 24370, United States

    SALTVILLE, VA 243703112

    Phone: (276) 496-4433

    Fax: (276) 496-5923

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-03-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-07-31 (1043 days ago).

Enrollment records

1

Earliest due date

2023-07-31

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
I20100319000324INurse PractitionerVA2023-07-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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
83036Hemoglobin a1c level2116$0
View full utilization report →

Insurance plans in this area (ZIP 24201)

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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: 4880502707View full group profile
NameSpecialtyState
Family PracticeVA
Nurse PractitionerVA
Family Practice, Addiction Medicine, General PracticeVA
-VA
General PracticeVA
Clinical Social WorkerCO
Pediatric MedicineVA
Nurse PractitionerVA
Clinical Social WorkerVA
Internal MedicineVA

Reviews

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Frequently asked questions

What is the 10-digit NPI for STEPHANIE BRANHAM (NP)?
STEPHANIE BRANHAM (NP) — NPI 1285605824 — is the standard way to identify this listing.
Can I rely on STEPHANIE BRANHAM (NP) being an active provider?
As of the registry snapshot, STEPHANIE BRANHAM (NP) is marked active.
What is STEPHANIE BRANHAM (NP) best known for clinically?
Directory data describes STEPHANIE BRANHAM (NP) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does STEPHANIE BRANHAM (NP) serve?
STEPHANIE BRANHAM (NP)'s listing highlights Bristol, Virginia; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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