KIP WAYNE BRYANT PMHNP
NPI 1083380349
Nurse Practitioner - Psychiatric/Mental Health in Jackson, OH

Active since August 18, 2021PECOS EnrolledAccepts Medicare Assignment
500 BURLINGTON RD STE 240, JACKSON, OH 45640(740) 286-5075(740) 395-8411 Get Directions Write a Review

NPPES record last updated: August 18, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kip Wayne Bryant Pmhnp NPPES

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

KIP WAYNE BRYANT PMHNP (NPI 1083380349) is an individual psychiatric/mental health provider in Jackson, Ohio, licensed in Ohio (APRN.CNP.0029552) and active in the NPI registry since August 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Mc Arthur, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1083380349
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameKIP WAYNE BRYANTCredential: PMHNP
Location Address500 BURLINGTON RD STE 240Jackson, OH 45640-9360
Mailing AddressPo Box 188Chillicothe, OH 45601-0188 · (740) 773-4366 · Fax (740) 773-4750
Fax(740) 395-8411
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 18, 2021
NPPES CertifiedAugust 18, 2021
NPI 1083380349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in OH · APRN.CNP.0029552
500 BURLINGTON RD STE 240, Jackson, OH 45640

Secondary Practice Location 1

Location 131891 State Route 93Mc Arthur, OH 45651-9006 · Phone (740) 596-5249 · Fax (740) 773-9579

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

Kip Wayne Bryant Pmhnp 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 ID7911302088
PECOS Enrollment IDI20210827001047
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 45640 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.

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.

Counselor (Professional)
500 BURLINGTON RD STE 240
JACKSON, OH 45640
Counselor (Addiction (Substance Use Disorder))
500 BURLINGTON RD STE 240
JACKSON, OH 45640
Assistant Behavior Analyst
500 BURLINGTON RD STE 240
JACKSON, OH 45640
Case Manager/Care Coordinator
500 BURLINGTON RD STE 240
JACKSON, OH 45640
Clinic/Center (Federally Qualified Health Center (FQHC))
500 BURLINGTON RD STE 240
JACKSON, OH 45640
Licensed Practical Nurse
500 BURLINGTON RD STE 240
JACKSON, OH 45640
Clinic/Center (Mental Health (Including Community Mental Health Center))
500 BURLINGTON RD STE 240
JACKSON, OH 45640
Counselor (Addiction (Substance Use Disorder))
500 BURLINGTON RD STE 240
JACKSON, OH 45640

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083380349, enumerated as an "individual" on August 18, 2021.

The provider is located at 500 BURLINGTON RD STE 240 JACKSON, OH 45640 and the phone number is (740) 286-5075.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.