Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BRANDY NICHOLE WILT NP
NPI 1184311391
Nurse Practitioner - Acute Care in Gardena, CA

Q: What is Brandy Wilt's NPI number?

The NPI number for Brandy Wilt is 1184311391. It was assigned to this individual provider in the NPPES registry on April 18, 2023.

Q: What is Brandy Wilt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Brandy Wilt was last updated on August 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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 April 18, 2023PECOS Enrolled

1145 W REDONDO BEACH BLVD, GARDENA, CA 90247(310) 532-4200 Get Directions Write a Review

NPPES record last updated: August 2, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Brandy Nichole Wilt Np NPPES

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

BRANDY NICHOLE WILT NP (NPI 1184311391) is an individual acute care provider in Gardena, California, licensed in California (95023834) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184311391

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameBRANDY NICHOLE WILTCredential: NP

Location Address1145 W REDONDO BEACH BLVDGardena, CA 90247-3511

Mailing AddressPo Box 9382Mammoth Lakes, CA 93546-9341 · (814) 931-5083

Phone(310) 532-4200

Sole ProprietorNo

Enumeration DateApril 18, 2023

Last NPPES UpdateAugust 2, 2026

NPPES CertifiedAugust 2, 2026

✔ NPI 1184311391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in CA · 95023834

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 95023834 (CA)

1145 W REDONDO BEACH BLVD, Gardena, CA 90247

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brandy Nichole Wilt 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 90247 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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.

COURTNEY LYNN FLORES NP-C

Nurse Practitioner (Family)