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BRENDA L GILBERT APN
NPI 1811127137
Nurse Practitioner - Family in Cleveland, TN

Active since July 21, 2009PECOS EnrolledAccepts Medicare Assignment
3740 OCOEE PLACE NW, STE 101, CLEVELAND, TN 37312(423) 339-7107(423) 339-6717 Get Directions Write a Review

NPPES record last updated: July 18, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Brenda L Gilbert Apn NPPES

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

BRENDA L GILBERT APN (NPI 1811127137) is an individual family provider in Cleveland, Tennessee, licensed in Tennessee (14265) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS, is affiliated with Memorial Healthcare System, Inc, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1811127137
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBRENDA L GILBERTCredential: APN
Location Address3740 OCOEE PLACE NW, STE 101Cleveland, TN 37312
Mailing Address3740 Ocoee Place Nw, Ste 101Cleveland, TN 37312 · (423) 339-7107 · Fax (423) 339-6717
Phone(423) 339-7107
Fax(423) 339-6717
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJuly 21, 2009
Last NPPES UpdateJuly 18, 2015
✔ NPI 1811127137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TN · 14265
3740 OCOEE PLACE NW, Cleveland, TN 37312
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.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

Brenda L Gilbert Apn 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 ID9537212576
PECOS Enrollment IDI20090807000670
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.

Areas of Expertise CMS Part B claims 5

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 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.
269 services71 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
28 services28 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
26 services24 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
26 services26 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Memorial Healthcare System, Inc

Acute Care Hospitals · Chattanooga, TN
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number440091
Location2525 Desales AveChattanooga, TN 37404 · Hamilton County

Tennova Health Care-Cleveland

Acute Care Hospitals · Cleveland, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440185
Location2305 Chambliss Ave NWCleveland, TN 37311 · Bradley County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37312 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers13 claims30 services$6.31 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier30 claims30 services$17.01 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers12 claims12 services$40.40 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier30 claims30 services$85.23 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$21.84 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
4 suppliers21 claims21 services$195.92 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

KAFUL DOUBLE PORTION FAMILY PRACTICE, INC
Nurse Practitioner (Family)
3740 OCOEE PLACE NW, SUITE 101
CLEVELAND, TN 37312
Bradley County (423) 339-7107
SHERRA SUE MILLS NP
Nurse Practitioner (Family)
3740 OCOEE PLACE NW, SUITE 101
CLEVELAND, TN 37312
Bradley County (423) 339-7107

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 Brenda Gilbert's NPI number?

The NPI number for Brenda Gilbert is 1811127137. It was assigned to this individual provider in the NPPES registry on July 21, 2009.

Where is Brenda Gilbert located?

Brenda Gilbert practices at 3740 Ocoee Place NW Ste 101, Cleveland, TN 37312. The listed phone number is (423) 339-7107.

What is Brenda Gilbert's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Brenda Gilbert enrolled in Medicare?

Yes. Brenda Gilbert 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 Brenda Gilbert accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Brenda Gilbert 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 Brenda Gilbert affiliated with any hospitals?

According to CMS data, Brenda Gilbert is affiliated with Memorial Healthcare System, Inc and Tennova Health Care-Cleveland.

When was this NPI record last updated?

The NPPES record for Brenda Gilbert was last updated on July 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.