BRANDY ALEXANDRA RUTLAND PMHNP-BC
NPI 1225628761
Nurse Practitioner - Psychiatric/Mental Health in Jackson, MS

Active since January 19, 2021PECOS EnrolledAccepts Medicare Assignment
1059 RIDGEWOOD PL, JACKSON, MS 39211(601) 957-3211 Get Directions Write a Review

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

About Brandy Alexandra Rutland Pmhnp-bc NPPES

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

BRANDY ALEXANDRA RUTLAND PMHNP-BC (NPI 1225628761) is an individual psychiatric/mental health provider in Jackson, Mississippi, licensed in Mississippi (904379) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1225628761
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameBRANDY ALEXANDRA RUTLANDCredential: PMHNP-BC
Location Address1059 RIDGEWOOD PLJackson, MS 39211-2018
Mailing Address1020 Cumberland DrBrandon, MS 39047-7903 · (601) 951-8993
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 19, 2021
NPPES CertifiedJanuary 19, 2021
NPI 1225628761 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 MS · 904379
1059 RIDGEWOOD PL, Jackson, MS 39211

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

Brandy Alexandra Rutland 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 ID1052728698
PECOS Enrollment IDI20210329000694
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

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit, 20-29 minutes 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
71 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39211 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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 7

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

Social Worker (Clinical)
1059 RIDGEWOOD PL
JACKSON, MS 39211
Counselor (Mental Health)
1059 RIDGEWOOD PL
JACKSON, MS 39211
Durable Medical Equipment & Medical Supplies
1059 RIDGEWOOD PL, SUITE A
JACKSON, MS 39211
Social Worker (Clinical)
1059 RIDGEWOOD PL
JACKSON, MS 39211
Nurse Practitioner (Psychiatric/Mental Health)
1059 RIDGEWOOD PL
JACKSON, MS 39211
Psychiatry & Neurology (Psychiatry)
1059 RIDGEWOOD PL
JACKSON, MS 39211
Nurse Practitioner (Psychiatric/Mental Health)
1059 RIDGEWOOD PL
JACKSON, MS 39211

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225628761, enumerated as an "individual" on January 19, 2021.

The provider is located at 1059 RIDGEWOOD PL JACKSON, MS 39211 and the phone number is (601) 957-3211.

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

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