BRANDY LEE VINES
NPI 1306602701
Nurse Practitioner - Family in Pea Ridge, AR

Active since February 23, 2024PECOS EnrolledAccepts Medicare Assignment
2103 SLACK ST, PEA RIDGE, AR 72751(765) 479-1980 Get Directions Write a Review

NPPES record last updated: February 23, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Brandy Lee Vines NPPES

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

BRANDY LEE VINES (NPI 1306602701) is an individual family provider in Pea Ridge, Arkansas, licensed in Arkansas (227730) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1306602701
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBRANDY LEE VINES
Location Address2103 SLACK STPea Ridge, AR 72751-4005
Mailing Address2103 Slack StPea Ridge, AR 72751-4005 · (479) 756-1980
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateFebruary 23, 2024
NPPES CertifiedFebruary 23, 2024
NPI 1306602701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in AR · 227730
2103 SLACK ST, Pea Ridge, AR 72751

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 Lee Vines 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 ID5193161974
PECOS Enrollment IDI20240314004305
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 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
47 services46 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72751 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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 3

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

Clinic/Center (Urgent Care)
2103 SLACK ST
PEA RIDGE, AR 72751
Physician Assistant (Medical)
2103 SLACK ST
PEA RIDGE, AR 72751
Nurse Practitioner (Family)
2103 SLACK ST
PEA RIDGE, AR 72751

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 Brandy Vines's NPI number?

The NPI number for Brandy Vines is 1306602701. It was assigned to this individual provider in the NPPES registry on February 23, 2024.

Where is Brandy Vines located?

Brandy Vines practices at 2103 Slack St, Pea Ridge, AR 72751. The listed phone number is (765) 479-1980.

What is Brandy Vines's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Brandy Vines enrolled in Medicare?

Yes. Brandy Vines is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Brandy Vines accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Brandy Vines as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brandy Vines was last updated on February 23, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.