THOMAS JESSE BRANDON NP
NPI 1184018558
Nurse Practitioner - Gerontology in Lenexa, KS

Q: What is Thomas Brandon's NPI number?

The NPI number for Thomas Brandon is 1184018558. It was assigned to this individual provider in the NPPES registry on March 24, 2015.

Q: What is Thomas Brandon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Brandon was last updated on September 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since March 24, 2015PECOS Enrolled

10101 RENNER BLVD, LENEXA, KS 66219(800) 873-8845(913) 859-6887 Get Directions Write a Review

NPPES record last updated: September 6, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Thomas Jesse Brandon Np NPPES

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

THOMAS JESSE BRANDON NP (NPI 1184018558) is an individual gerontology provider in Lenexa, Kansas, licensed in Michigan (4704243187) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184018558

Entity TypeIndividualMale

Primary Taxonomy363LG0600X

Provider Legal NameTHOMAS JESSE BRANDONCredential: NP

Location Address10101 RENNER BLVDLenexa, KS 66219-9752

Mailing Address25373 Van Dyke AveCenter Line, MI 48015-1425 · (586) 436-4469

Phone(800) 873-8845

Fax(913) 859-6887

Sole ProprietorYes

Enumeration DateMarch 24, 2015

Last NPPES UpdateSeptember 6, 2015

✔ NPI 1184018558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LG0600X

License✔ Licensed in MI · 4704243187

10101 RENNER BLVD, Lenexa, KS 66219

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thomas Jesse Brandon 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 66219 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

$81.98 typical visit price

range $53.00 – $161.67

Typical copayment $20.49 (range $13.25 – $40.41)

Most-billed visit code 99203

Established Patient

$94.12 typical visit price

range $16.88 – $132.11

Typical copayment $23.53 (range $4.22 – $33.02)

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 14

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

MRS. LILLIE MAE DEAN REG.NURSEPRACTIONER

Nurse Practitioner (Obstetrics & Gynecology)