MARY LISA BRANTLEY FNP
NPI 1346516994
Nurse Practitioner in Greenville, NC

Q: What is Mary Brantley's NPI number?

The NPI number for Mary Brantley is 1346516994. It was assigned to this individual provider in the NPPES registry on March 28, 2012.

Q: What is Mary Brantley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Brantley was last updated on February 2, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 28, 2012PECOS Enrolled

517 MOYE BLVD, GREENVILLE, NC 27834(252) 744-2335(252) 744-5035 Get Directions Write a Review

NPPES record last updated: February 2, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 2, 2026, Dec 8, 2022, Oct 6, 2021 (3 updates tracked since 2021).

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About Mary Lisa Brantley Fnp NPPES

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

MARY LISA BRANTLEY FNP (NPI 1346516994) is an individual nurse practitioner in Greenville, North Carolina, licensed in North Carolina (5005507) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346516994

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMARY LISA BRANTLEYCredential: FNP

Location Address517 MOYE BLVDGreenville, NC 27834-2849

Mailing AddressPo Box 751069Charlotte, NC 28275-1069

Phone(252) 744-2335

Fax(252) 744-5035

Sole ProprietorNo

Enumeration DateMarch 28, 2012

Last NPPES UpdateFebruary 2, 20263 updates tracked since enumeration

NPPES CertifiedFebruary 2, 2026

✔ NPI 1346516994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in NC · 5005507✔ Licensed in NC · 172458

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

517 MOYE BLVD, Greenville, NC 27834

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Other Identifiers 1

Medicaid7006440NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.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)

Mary Lisa Brantley Fnp 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 27834 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

Referred Medical Equipment & Supplies CMS DME claims 14

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

15 suppliers86 claims86 services$41.21 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

17 suppliers90 claims90 services$102.49 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

12 suppliers61 claims156 services$38.64 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

11 suppliers38 claims199 services$23.04 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

7 suppliers18 claims62 services$16.60 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

20 suppliers76 claims76 services$64.64 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

HEIDI KENEFICK DO

Pediatrics