BRENT A PLUMMER APRN, MSN, PMHNP-BC
NPI 1083107056
Nurse Practitioner - Psychiatric/Mental Health in Crestview Hills, KY

Active since June 13, 2018PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
334 THOMAS MORE PARKWAY, CRESTVIEW HILLS, KY 41017(859) 301-5901(859) 301-5940 Get Directions Write a Review

NPPES record last updated: March 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 28, 2023, Nov 21, 2022, Apr 25, 2019 and 5 more (8 updates tracked since 2018).

About Brent A Plummer Aprn, Msn, Pmhnp-bc NPPES

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

BRENT A PLUMMER APRN, MSN, PMHNP-BC (NPI 1083107056) is an individual psychiatric/mental health provider in Crestview Hills, Kentucky, licensed in Kentucky (3012754) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1083107056
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameBRENT A PLUMMERCredential: APRN, MSN, PMHNP-BC
Location Address334 THOMAS MORE PARKWAYCrestview Hills, KY 41017
Mailing AddressPo Box 635283Cincinnati, OH 45263-5283 · (859) 301-5901 · Fax (859) 301-5940
Fax(859) 301-5940
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateJune 13, 2018
Last NPPES UpdateMarch 28, 20238 updates tracked since enumeration
NPPES CertifiedMarch 28, 2023
NPI 1083107056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in KY · 3012754
Also ListedNurse PractitionerTaxonomy 363L00000X · License 3012754 (KY)
334 THOMAS MORE PARKWAY, Crestview Hills, KY 41017

Other Identifiers 1

Medicaid7100564130KY

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Brent A Plummer Aprn, Msn, Pmhnp-bc 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 ID42555641
PECOS Enrollment IDI20190102000539
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.

Areas of Expertise CMS Part B claims 5

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.

Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
112 services31 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
109 services49 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
64 services25 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
43 services37 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
22 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41017 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 6

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

Psychiatry & Neurology (Psychiatry)
334 THOMAS MORE PARKWAY
CRESTVIEW HILLS, KY 41017
Psychologist
334 THOMAS MORE PARKWAY
CRESTVIEW HILLS, KY 41017
Nurse Practitioner
334 THOMAS MORE PARKWAY
EDGEWOOD, KY 41017
Psychiatry & Neurology (Psychiatry)
334 THOMAS MORE PARKWAY
CRESTVIEW HILLS, KY 41017
Nurse Practitioner (Psychiatric/Mental Health)
334 THOMAS MORE PARKWAY
CRESTVIEW HILLS, KY 41017
Nurse Practitioner
334 THOMAS MORE PARKWAY
CRESTVIEW HILLS, KY 41017

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 Brent Plummer's NPI number?

The NPI number for Brent Plummer is 1083107056. It was assigned to this individual provider in the NPPES registry on June 13, 2018.

Where is Brent Plummer located?

Brent Plummer practices at 334 Thomas More Parkway, Crestview Hills, KY 41017. The listed phone number is (859) 301-5901.

What is Brent Plummer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Brent Plummer enrolled in Medicare?

Yes. Brent Plummer 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.

What insurance does Brent Plummer accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Brent Plummer 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.

When was this NPI record last updated?

The NPPES record for Brent Plummer was last updated on March 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.