BRANTLEY HEALTH AND WELLNESS LLC
NPI 1861220626
Nurse Practitioner - Family in Panama City, FL

Active since July 23, 2024
489 N TYNDALL PKWY, PANAMA CITY, FL 32404(850) 866-7711(850) 387-2776 Get Directions Write a Review

NPPES record last updated: January 29, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 6, 2025, Jul 23, 2024 (2 updates tracked since 2024).

About Brantley Health And Wellness Llc NPPES

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

BRANTLEY HEALTH AND WELLNESS LLC (NPI 1861220626) is a healthcare organization registered as a family in Panama City, Florida and active in the NPI registry since July 2024. The organization lists Nicholas J Brantley, Provider/owner, as its authorized official.

NPPES Registry Identity

NPI1861220626
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameBRANTLEY HEALTH AND WELLNESS LLC
Location Address489 N TYNDALL PKWYPanama City, FL 32404-6126
Mailing Address5524 Mars Hill LnPanama City, FL 32404-4327 · (850) 896-2742 · Fax (850) 387-2776
Fax(850) 387-2776
Organization SubpartNo
Authorized OfficialNicholas J BrantleyProvider/owner · (727) 804-8193
Enumeration DateJuly 23, 2024
Last NPPES UpdateJanuary 29, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2025
✔ NPI 1861220626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
489 N TYNDALL PKWY, Panama City, FL 32404

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brantley Health And Wellness Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Brantley Health And Wellness LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1942891569
5524 MARS HILL LN
Panama City, FL 32404
(727) 804-8193
✔ PECOS✔ Accepts Medicare7.6 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Brantley Health And Wellness LLC's NPI number?

The NPI number for Brantley Health And Wellness LLC is 1861220626. It was assigned to this organization in the NPPES registry on July 23, 2024.

Where is Brantley Health And Wellness LLC located?

Brantley Health And Wellness LLC is located at 489 N Tyndall Pkwy, Panama City, FL 32404. The listed phone number is (850) 866-7711.

What is Brantley Health And Wellness LLC's specialty?

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

Is Brantley Health And Wellness LLC enrolled in Medicare?

Yes. Brantley Health And Wellness LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Brantley Health And Wellness LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Brantley Health And Wellness LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Brantley Health And Wellness LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Brantley Health And Wellness LLC 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 Brantley Health And Wellness LLC was last updated on January 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.