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KASSONDRA AMADA SHOEMAKER BRINO DNP, CPNP, PMHNP
NPI 1548746365
Nurse Practitioner - Psychiatric/Mental Health in Butner, NC

Active since July 15, 2018PECOS Enrolled

NPPES record last updated: April 6, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 6, 2025, Oct 28, 2020, Aug 14, 2020 and 3 more (6 updates tracked since 2018).

About Kassondra Amada Shoemaker Brino Dnp, Cpnp, Pmhnp NPPES

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

KASSONDRA AMADA SHOEMAKER BRINO DNP, CPNP, PMHNP (NPI 1548746365) is an individual psychiatric/mental health provider in Butner, North Carolina, licensed in North Carolina (5010693) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1548746365
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKASSONDRA AMADA SHOEMAKER BRINOCredential: DNP, CPNP, PMHNP
Location Address100 W H STButner, NC 27509-1605
Mailing Address210 Silver Pine CtDurham, NC 27713-9266 · (919) 627-8771
Phone(919) 338-8500
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 15, 2018
Last NPPES UpdateApril 6, 20256 updates tracked since enumeration
NPPES CertifiedApril 6, 2025
✔ NPI 1548746365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NC · 5010693
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License 5010693 (NC)
100 W H ST, Butner, NC 27509
Open in Google Maps ↗

Other Identifiers 1

Medicaid68535NC

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)

Kassondra Amada Shoemaker Brino Dnp, Cpnp, Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3779060033
PECOS Enrollment IDI20260118000000
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 27509 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.

Other Providers at the Same Location NPPES 19

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

CATHERINE WARD FNP-BC
Nurse Practitioner (Family)
100 W H ST
BUTNER, NC 27509
Granville County (919) 575-7928
DIANA DODSON RAY LCSW, LCAS
Social Worker (Clinical)
100 W H ST
BUTNER, NC 27509
Granville County (919) 575-7620
EARL ROBERT FORBES LCSWA
Social Worker (Clinical)
100 W H ST
BUTNER, NC 27509
Granville County (919) 575-7067
JERUSHA CHAMP
Social Worker (Clinical)
100 W H ST
BUTNER, NC 27509
Granville County (919) 575-7625
PATRICK REGAN
Counselor
100 W H ST
BUTNER, NC 27509
Granville County (919) 575-7285
MRS. TANEISHA JORDAN
Counselor (Addiction (Substance Use Disorder))
100 W H ST
BUTNER, NC 27509
Granville County (919) 575-7623
WILLESHA EDWANDA MILLER
Counselor (Professional)
100 W H ST
BUTNER, NC 27509
Granville County (919) 575-7284
MS. DEKEVIA STANLEY BSW
Counselor (Addiction (Substance Use Disorder))
100 W H ST
BUTNER, NC 27509
Granville County (919) 575-7229

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 Kassondra Brino's NPI number?

The NPI number for Kassondra Brino is 1548746365. It was assigned to this individual provider in the NPPES registry on July 15, 2018.

Where is Kassondra Brino located?

Kassondra Brino practices at 100 W H St, Butner, NC 27509. The listed phone number is (919) 338-8500.

What is Kassondra Brino's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kassondra Brino enrolled in Medicare?

Yes. Kassondra Brino is registered in the Medicare PECOS enrollment system.

What insurance does Kassondra Brino accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Kassondra Brino 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 Kassondra Brino was last updated on April 6, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.