BRANDY DIVINE FNP
NPI 1457803363
Nurse Practitioner - Family in Kirksville, MO
About Brandy Divine Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRANDY DIVINE FNP (NPI 1457803363) is an individual family provider in Kirksville, Missouri, licensed in Missouri (2016037534) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Brandy Divine Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
10Medicare enrollment records show Brandy Divine reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Florissant, MO 63031
- Reassigned Medicare billing, Missouri enrollment
- 22 clinicians in this Medicare group
Springfield, MO 65807
- Reassigned Medicare billing, Missouri enrollment
- 13 clinicians in this Medicare group
Cape Girardeau, MO 63701
- Reassigned Medicare billing, Missouri enrollment
- 41 clinicians in this Medicare group
Novi, MI 48375
- Reassigned Medicare billing, Missouri enrollment
- 59 clinicians in this Medicare group
Houston, TX 77070
- Reassigned Medicare billing, Missouri enrollment
- 62 clinicians in this Medicare group
Houston, TX 77070
- Reassigned Medicare billing, Missouri enrollment
- 59 clinicians in this Medicare group
Columbia, MD 21045
- Reassigned Medicare billing, Missouri enrollment
- 27 clinicians in this Medicare group
Princess Anne, MD 21853
- Reassigned Medicare billing, Missouri enrollment
- 4 clinicians in this Medicare group
Englewood, NJ 07631
- Reassigned Medicare billing, Missouri enrollment
- 10 clinicians in this Medicare group
Bristol, RI 02809
- Reassigned Medicare billing, Missouri enrollment
- 23 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
KIRKSVILLE, MO 63501
KIRKSVILLE, MO 63501
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 Divine's NPI number?
The NPI number for Brandy Divine is 1457803363. It was assigned to this individual provider in the NPPES registry on October 26, 2016. The provider is also known as Brandy Yarnell Fnp.
Where is Brandy Divine located?
Brandy Divine practices at 900 E Laharpe St, Kirksville, MO 63501. The listed phone number is (660) 665-1962.
What is Brandy Divine's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Brandy Divine enrolled in Medicare?
Yes. Brandy Divine is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Brandy Divine's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brandy Divine reassigns Medicare benefits to 10 organizations: Missouri Mso LLC (Florissant, MO), Elite Professional Providers, LLC (Springfield, MO), Missouri United Psych LLC (Cape Girardeau, MO), Theoria Medical (Novi, MI), Psychiatry Of Texas PLLC (Houston, TX) and 5 more organizations, listed in the Medicare section above. Each 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 Brandy Divine's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Brandy Divine was last updated on July 1, 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.
# Brandy Divine, FNP · NPI 1457803363
Family physician in Kirksville, Missouri. Individual provider, active in the CMS NPPES registry since October 26, 2016.
## Identity
- **NPI:** 1457803363 (Entity type: Individual)
- **Enumerated:** October 26, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 2016037534 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 900 E LAHARPE ST, Kirksville, MO 63501-4520
- **Phone:** (660) 665-1962
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 10 organizations under Medicare reassignment (form CMS-855R): Missouri Mso LLC (NPI 1538041769, Florissant, MO); Elite Professional Providers, LLC (NPI 1891488433, Springfield, MO); Missouri United Psych LLC (NPI 1255207023, Cape Girardeau, MO); Theoria Medical (NPI 1609362375, Novi, MI); Psychiatry Of Texas PLLC (NPI 1013476027, Houston, TX); and 5 more · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 1, 2024
- **Other identifiers:** Medicaid 1457803363 (MO)
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Source: [NPI Profile](https://npiprofile.com/npi/1457803363) · Data from the CMS NPPES public registry.