BRANDALON MARIE FLY APRN, FNP-BC
NPI 1023715968
Nurse Practitioner - Family in Collierville, TN

Q: What is Brandalon Fly's NPI number?

The NPI number for Brandalon Fly is 1023715968. It was assigned to this individual provider in the NPPES registry on February 10, 2023.

Q: What is Brandalon Fly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Brandalon Fly was last updated on November 19, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 10, 2023PECOS Enrolled

240 NEW BYHALIA RD, COLLIERVILLE, TN 38017(901) 492-4920 Get Directions Write a Review

NPPES record last updated: November 19, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 19, 2024, Mar 21, 2023, Feb 21, 2023 and 1 more (4 updates tracked since 2023).

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About Brandalon Marie Fly Aprn, Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRANDALON MARIE FLY APRN, FNP-BC (NPI 1023715968) is an individual family provider in Collierville, Tennessee, licensed in Tennessee (33359) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023715968

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameBRANDALON MARIE FLYCredential: APRN, FNP-BC

Location Address240 NEW BYHALIA RDCollierville, TN 38017-3716

Mailing Address150 Cotton Gin RdRossville, TN 38066-5028 · (731) 618-9634

Phone(901) 492-4920

Sole ProprietorNo

Enumeration DateFebruary 10, 2023

Last NPPES UpdateNovember 19, 20244 updates tracked since enumeration

NPPES CertifiedNovember 19, 2024

✔ NPI 1023715968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in TN · 33359✔ Licensed in MS · 905911

240 NEW BYHALIA RD, Collierville, TN 38017

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brandalon Marie Fly Aprn, Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38017 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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