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BRENILLA VAUGHN FNP
NPI 1669937611
Nurse Practitioner in Brookhaven, MS

Active since February 04, 2019PECOS EnrolledAccepts Medicare Assignment
747 INDUSTRIAL PARK RD NE, BROOKHAVEN, MS 39601(601) 833-4111 Get Directions Write a Review

NPPES record last updated: January 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 10, 2023, Feb 4, 2019 (2 updates tracked since 2019).

About Brenilla Vaughn Fnp NPPES

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

BRENILLA VAUGHN FNP (NPI 1669937611) is an individual nurse practitioner in Brookhaven, Mississippi, licensed in Mississippi (902851) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS, is affiliated with King's Daughters Medical Center-brookhaven, and maintains a secondary practice location in Brandon.

NPPES Registry Identity

NPI1669937611
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameBRENILLA VAUGHNCredential: FNP
Location Address747 INDUSTRIAL PARK RD NEBrookhaven, MS 39601-2065
Mailing Address747 Industrial Park Rd NeBrookhaven, MS 39601-2065 · (601) 833-4111
Phone(601) 833-4111
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateFebruary 4, 2019
Last NPPES UpdateJanuary 10, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2023
✔ NPI 1669937611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MS · 902851
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.
747 INDUSTRIAL PARK RD NE, Brookhaven, MS 39601
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Secondary Practice Location 1

Location 1557 Grant Ferry RdBrandon, MS 39047-9023 · Phone (601) 665-4162 · Fax (855) 830-3484

Other Identifiers 1

Medicaid002187356MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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 and accepts Medicare assignment

Brenilla Vaughn Fnp 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 ID7911289103
PECOS Enrollment IDI20230920000386
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

King's Daughters Medical Center-Brookhaven

Acute Care Hospitals · Brookhaven, MS
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number250057
Location427 Highway 51 NorthBrookhaven, MS 39601 · Lincoln County
Emergency services Birthing friendly

Southwest Ms Regional Medical Center

Acute Care Hospitals · Mccomb, MS
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number250097
Location215 Marion Av Box 1307Mccomb, MS 39649 · Pike County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39601 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

MISS MONTOYAE C LEAVY NP
Nurse Practitioner
747 INDUSTRIAL PARK RD NE
BROOKHAVEN, MS 39601
Lincoln County (601) 833-4111
ASHTON M DUET FNP-BC
Nurse Practitioner (Family)
747 INDUSTRIAL PARK RD NE
BROOKHAVEN, MS 39601
Lincoln County (601) 833-4111
ANOINTED NEPHROLOGY & HTN PLLC
Specialist
747 INDUSTRIAL PARK RD NE
BROOKHAVEN, MS 39601
Lincoln County (601) 833-4111

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 Brenilla Vaughn's NPI number?

The NPI number for Brenilla Vaughn is 1669937611. It was assigned to this individual provider in the NPPES registry on February 4, 2019.

Where is Brenilla Vaughn located?

Brenilla Vaughn practices at 747 Industrial Park Rd NE, Brookhaven, MS 39601. The listed phone number is (601) 833-4111.

What is Brenilla Vaughn's specialty?

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

Is Brenilla Vaughn enrolled in Medicare?

Yes. Brenilla Vaughn 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 Brenilla Vaughn accept?

Health plans from UnitedHealthcare list Brenilla Vaughn 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.

Is Brenilla Vaughn affiliated with any hospitals?

According to CMS data, Brenilla Vaughn is affiliated with King's Daughters Medical Center-Brookhaven and Southwest Ms Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Brenilla Vaughn was last updated on January 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.