BRANDIE CHILDRESS
NPI 1679913701
Nurse Practitioner - Pediatrics, Critical Care in South Euclid, OH

Q: What is Brandie Childress's NPI number?

The NPI number for Brandie Childress is 1679913701. It was assigned to this individual provider in the NPPES registry on July 3, 2013.

Q: What is Brandie Childress's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, Critical Care, with taxonomy code 363LP0222X.

Q: When was this NPI record last updated?

The NPPES record for Brandie Childress was last updated on July 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since July 03, 2013PECOS Enrolled

2054 S GREEN RD, SOUTH EUCLID, OH 44121(216) 291-9210 Get Directions Write a Review

NPPES record last updated: July 3, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Brandie Childress NPPES

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

BRANDIE CHILDRESS (NPI 1679913701) is an individual pediatrics, critical care provider in South Euclid, Ohio, licensed in Ohio (14636) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679913701

Entity TypeIndividualFemale

Primary Taxonomy363LP0222X

Provider Legal NameBRANDIE CHILDRESS

Location Address2054 S GREEN RDSouth Euclid, OH 44121-4243

Mailing Address2054 S Green RdSouth Euclid, OH 44121-4243

Phone(216) 291-9210

Sole ProprietorNo

Enumeration DateJuly 3, 2013

✔ NPI 1679913701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Pediatrics, Critical CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0222X

License✔ Licensed in OH · 14636

2054 S GREEN RD, South Euclid, OH 44121

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brandie Childress 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 44121 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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 20

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

MRS. JAMIE MELISSA HENDRY RN

Registered Nurse