SUSAN MAWHINNEY-BRIGNOLA APRN
NPI 1427590199
Nurse Practitioner - Gerontology in Spring Hill, FL

Active since November 13, 2016PECOS EnrolledAccepts Medicare Assignment
3021 COMMERCIAL WAY, SPRING HILL, FL 34606(352) 688-8116(352) 686-9477 Get Directions Write a Review

NPPES record last updated: April 24, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 24, 2024, Apr 11, 2023, Nov 20, 2020 and 2 more (5 updates tracked since 2016).

About Susan Mawhinney-brignola Aprn NPPES

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

SUSAN MAWHINNEY-BRIGNOLA APRN (NPI 1427590199) is an individual gerontology provider in Spring Hill, Florida, licensed in Florida (APRN9221202) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS and is a graduate of University Of South Florida College Of Medicine (2016).

NPPES Registry Identity

NPI1427590199
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameSUSAN MAWHINNEY-BRIGNOLACredential: APRN
Location Address3021 COMMERCIAL WAYSpring Hill, FL 34606-3300
Mailing Address5400 Pinehurst DrSpring Hill, FL 34606-3833 · (352) 277-5348 · Fax (352) 606-2857
Fax(352) 686-9477
Sole ProprietorNo
Medical School CMSUniversity Of South Florida College Of MedicineGraduated 2016
Enumeration DateNovember 13, 2016
Last NPPES UpdateApril 24, 20245 updates tracked since enumeration
NPPES CertifiedApril 24, 2024
✔ NPI 1427590199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in FL · APRN9221202
Also ListedRegistered NurseTaxonomy 163W00000X · License RN9221202 (FL)
3021 COMMERCIAL WAY, Spring Hill, FL 34606

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Susan Mawhinney-brignola Aprn 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 ID345527867
PECOS Enrollment IDI20170509002914
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.

Medicare Billing Reassignment

Medicare enrollment records show Susan Mawhinney-brignola reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Practice
5350 SPRING HILL DR
Spring Hill, FL 34606
  • Reassigned Medicare billing, Florida enrollment
  • 215 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 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.
135 services50 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
42 services30 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
26 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34606 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%98 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Internal Medicine
3021 COMMERCIAL WAY
SPRING HILL, FL 34606
General Practice
3021 COMMERCIAL WAY
SPRING HILL, FL 34606
Nurse Practitioner (Family)
3021 COMMERCIAL WAY
SPRING HILL, FL 34606
Nurse Practitioner (Family)
3021 COMMERCIAL WAY
SPRING HILL, FL 34606
Nurse Practitioner (Primary Care)
3021 COMMERCIAL WAY
SPRING HILL, FL 34606
Nurse Practitioner (Family)
3021 COMMERCIAL WAY
SPRING HILL, FL 34606
Nurse Practitioner (Family)
3021 COMMERCIAL WAY
SPRING HILL, FL 34606
Nurse Practitioner (Family)
3021 COMMERCIAL WAY
SPRING HILL, FL 34606

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 Susan Mawhinney-brignola's NPI number?

The NPI number for Susan Mawhinney-brignola is 1427590199. It was assigned to this individual provider in the NPPES registry on November 13, 2016.

Where is Susan Mawhinney-brignola located?

Susan Mawhinney-brignola practices at 3021 Commercial Way, Spring Hill, FL 34606. The listed phone number is (352) 688-8116.

What is Susan Mawhinney-brignola's specialty?

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

Is Susan Mawhinney-brignola enrolled in Medicare?

Yes. Susan Mawhinney-brignola 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.

Which organization bills Medicare for Susan Mawhinney-brignola's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Mawhinney-brignola reassigns Medicare benefits to Access Health Care Physicians LLC (Spring Hill, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Susan Mawhinney-brignola's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Susan Mawhinney-brignola accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare and UnitedHealthcare list Susan Mawhinney-brignola 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 Susan Mawhinney-brignola was last updated on April 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.