BRANDI L VANDIVIER NP
NPI 1073687653
Nurse Practitioner - Neonatal in Indianapolis, IN

Q: What is Brandi Vandivier's NPI number?

The NPI number for Brandi Vandivier is 1073687653. It was assigned to this individual provider in the NPPES registry on November 17, 2006.

Q: What is Brandi Vandivier's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.

Q: When was this NPI record last updated?

The NPPES record for Brandi Vandivier was last updated on November 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 17, 2006PECOS Enrolled

705 RILEY HOSPITAL DR, RR 208, INDIANAPOLIS, IN 46202(317) 274-4715(317) 274-2065 Get Directions Write a Review

NPPES record last updated: November 28, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Brandi L Vandivier Np NPPES

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

BRANDI L VANDIVIER NP (NPI 1073687653) is an individual neonatal provider in Indianapolis, Indiana, licensed in Indiana (71002211A) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Bloomington.

NPPES Registry Identity

NPI1073687653

Entity TypeIndividualFemale

Primary Taxonomy363LN0000X

Provider Legal NameBRANDI L VANDIVIERCredential: NP

Location Address705 RILEY HOSPITAL DR, RR 208Indianapolis, IN 46202-5109

Mailing AddressPo Box 1026Indianapolis, IN 46206-1026 · (317) 777-6435 · Fax (317) 777-6644

Phone(317) 274-4715

Fax(317) 274-2065

Sole ProprietorNo

Enumeration DateNovember 17, 2006

Last NPPES UpdateNovember 28, 2025

NPPES CertifiedNovember 28, 2025

✔ NPI 1073687653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LN0000X

Licenses✔ Licensed in IN · 71002211A✔ Licensed in IN · 28147845

705 RILEY HOSPITAL DR, Indianapolis, IN 46202

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Secondary Practice Location 1

Location 12651 E Discovery PkwyBloomington, IN 47408-9059 · Phone (812) 353-9852

Other Identifiers 2

Medicaid200908180IN

Other000000618963IN · Anthem Provider Number

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brandi L Vandivier Np 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 46202 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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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Other Providers at the Same Location NPPES 20

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

MOHANNAD MOALLEM M.D.

Pediatrics (Neonatal-Perinatal Medicine)