MICHAEL BREWER (CRNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1235597329
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MICHAEL BREWER (CRNP)
1621 CENTRAL AVE # 56902
CHEYENNE, WY 820014531
Phone: (307) 212-9200
Type: Mailing
2360 E PERSHING BLVD
CHEYENNE, WY 820015356
Phone: (307) 778-7550
Type: Location
110, Campus Drive, Bradford Township, McKean County, Pennsylvania, 16701, United States
BRADFORD, PA 16701
Phone:
Type: Mailing
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: 2016-06-21
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160621000944 | I | Nurse Practitioner | PA | TBD |
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.
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 82001)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | PA | 90833 | Psychotherapy, 30 minutes with patient and/or family member | 21 | 12 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | PA | |
| Mental Health Counselor | PA | |
| Nurse Practitioner | PA | |
| P S Y C H I A T R Y | NY | |
| Mental Health Counselor | PA | |
| P S Y C H I A T R Y | PA | |
| Mental Health Counselor | PA | |
| Clinical Social Worker | PA | |
| - | NY | |
| Mental Health Counselor | NY |
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