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BRANDY BRANHAM NP-C
NPI 1043697972
Nurse Practitioner in West Portsmouth, OH

Active since April 29, 2015PECOS EnrolledAccepts Medicare Assignment
76.08/100
CMS Quality Rating
15888A US HIGHWAY 52, WEST PORTSMOUTH, OH 45663(740) 858-1732(740) 858-1735 Get Directions Write a Review

NPPES record last updated: December 16, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 16, 2020, Jul 20, 2020, Apr 10, 2020 and 2 more (5 updates tracked since 2017).

About Brandy Branham Np-c NPPES

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

BRANDY BRANHAM NP-C (NPI 1043697972) is an individual nurse practitioner in West Portsmouth, Ohio, licensed in Ohio (APRN.CNP.17228) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, is affiliated with Southern Ohio Medical Center, and is a graduate of University Of Cincinnati College Of Medicine (2014).

NPPES Registry Identity

NPI1043697972
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameBRANDY BRANHAMCredential: NP-C
Location Address15888A US HIGHWAY 52West Portsmouth, OH 45663-7503
Mailing Address1735 27th St Ste B06Portsmouth, OH 45662-2681 · (740) 356-8681 · Fax (740) 353-7900
Phone(740) 858-1732
Fax(740) 858-1735
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2014
Enumeration DateApril 29, 2015
Last NPPES UpdateDecember 16, 20205 updates tracked since enumeration
NPPES CertifiedDecember 16, 2020
✔ NPI 1043697972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in OH · APRN.CNP.17228
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
15888A US HIGHWAY 52, West Portsmouth, OH 45663
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brandy Branham Np-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7113231382
PECOS Enrollment IDI20150731015742, I20170411002603
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.

Medicare Billing Reassignment

Medicare enrollment records show Brandy Branham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Somc Medical Care Foundation, Inc.
3.4 mi
Diagnostic Radiology
1805 27TH ST
Portsmouth, OH 45662
  • Reassigned Medicare billing, Kentucky and Ohio enrollments
  • 34 clinicians in this Medicare group
NPI 1366686230 (740) 356-8117

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
94 services52 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
29 services29 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
12 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Southern Ohio Medical Center

Acute Care Hospitals · Portsmouth, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360008
Location1805 27th StreetPortsmouth, OH 45662 · Scioto County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45663 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.17
Promoting Interoperability100
Improvement Activities40
Cost43.98

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers22 claims41 services$5.46 avg. paid by Medicare
Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty E0181
DME-Other DME · category DE000N
1 supplier11 claims11 services$10.67 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$8.47 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PAUL RICHARD RAMEY II DO
Family Medicine
15888A US HIGHWAY 52
WEST PORTSMOUTH, OH 45663
Scioto County (740) 858-1732

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brandy Branham's NPI number?

The NPI number for Brandy Branham is 1043697972. It was assigned to this individual provider in the NPPES registry on April 29, 2015.

Where is Brandy Branham located?

Brandy Branham practices at 15888A Us Highway 52, West Portsmouth, OH 45663. The listed phone number is (740) 858-1732.

What is Brandy Branham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Brandy Branham enrolled in Medicare?

Yes. Brandy Branham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Brandy Branham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brandy Branham reassigns Medicare benefits to Somc Medical Care Foundation, Inc. (Portsmouth, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brandy Branham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brandy Branham accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and MedMutual list Brandy Branham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Brandy Branham affiliated with any hospitals?

According to CMS data, Brandy Branham is affiliated with Southern Ohio Medical Center.

When was this NPI record last updated?

The NPPES record for Brandy Branham was last updated on December 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.