BRAINWERKS
NPI 1124884390
Nurse Practitioner - Psychiatric/Mental Health in Orange Park, FL
About Brainwerks NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRAINWERKS (NPI 1124884390) is a healthcare organization registered as a psychiatric/mental health in Orange Park, Florida and active in the NPI registry since February 2024. The organization lists Nicole Hill, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Brainwerks is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Brainwerks, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Brainwerks's NPI number?
The NPI number for Brainwerks is 1124884390. It was assigned to this organization in the NPPES registry on February 26, 2024.
Where is Brainwerks located?
Brainwerks is located at 1406 Kingsley Ave Ste F, Orange Park, FL 32073. The listed phone number is (904) 849-2566.
What is Brainwerks's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Brainwerks enrolled in Medicare?
Yes. Brainwerks is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Brainwerks?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Brainwerks. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Brainwerks was last updated on September 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.
# Brainwerks · NPI 1124884390
Psychiatric/Mental Health organization in Orange Park, Florida. Organization record, active in the CMS NPPES registry since February 26, 2024.
## Identity
- **NPI:** 1124884390 (Entity type: Organization)
- **Enumerated:** February 26, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Nicole Hill, MANAGER
## Practice location
- **Address:** 1406 KINGSLEY AVE STE F, Orange Park, FL 32073-4528
- **Phone:** (904) 849-2566 · **Fax:** (904) 877-3641
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 20, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1124884390) · Data from the CMS NPPES public registry.