1. Home
  2. Directory
  3. Illinois
  4. Alton
  5. Nurse Practitioner
  6. NPI Profile

BRANDY MAXINE BUMGARDNER APRN, CNP
NPI 1881421675
Nurse Practitioner - Family in Alton, IL

Active since September 17, 2024PECOS EnrolledAccepts Medicare Assignment
2200 CENTRAL AVE, ALTON, IL 62002(618) 433-7600(618) 433-7641 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 12, 2026, Sep 19, 2024 (2 updates tracked since 2024).

About Brandy Maxine Bumgardner Aprn, Cnp NPPES

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

BRANDY MAXINE BUMGARDNER APRN, CNP (NPI 1881421675) is an individual family provider in Alton, Illinois, licensed in Illinois (209030503) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS, is affiliated with Osf Saint Anthony's Health Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1881421675
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBRANDY MAXINE BUMGARDNERCredential: APRN, CNP
Location Address2200 CENTRAL AVEAlton, IL 62002
Mailing Address2200 Central AveAlton, IL 62002-4569 · (618) 433-7600 · Fax (618) 463-5620
Phone(618) 433-7600
Fax(618) 433-7641
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 17, 2024
Last NPPES UpdateMarch 12, 20262 updates tracked since enumeration
NPPES CertifiedMarch 12, 2026
✔ NPI 1881421675 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 IL · 209030503
2200 CENTRAL AVE, Alton, IL 62002
Open in Google Maps ↗

Other Names 1

Former Name (1)Brandy M Baxley

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

Brandy Maxine Bumgardner Aprn, Cnp 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 ID749711745
PECOS Enrollment IDI20241001003625
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.

Osf Saint Anthony's Health Center

Acute Care Hospitals · Alton, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140052
LocationSt Anthony's WayAlton, IL 62002 · Madison County

Jersey Community Hospital

Acute Care Hospitals · Jerseyville, IL
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number140059
Location400 Maple Summit RoadJerseyville, IL 62052 · Jersey County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62002 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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.

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 Brandy Bumgardner's NPI number?

The NPI number for Brandy Bumgardner is 1881421675. It was assigned to this individual provider in the NPPES registry on September 17, 2024. The provider is also known as Brandy M Baxley.

Where is Brandy Bumgardner located?

Brandy Bumgardner practices at 2200 Central Ave, Alton, IL 62002. The listed phone number is (618) 433-7600.

What is Brandy Bumgardner's specialty?

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

Is Brandy Bumgardner enrolled in Medicare?

Yes. Brandy Bumgardner 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.

Is Brandy Bumgardner affiliated with any hospitals?

According to CMS data, Brandy Bumgardner is affiliated with Osf Saint Anthony's Health Center and Jersey Community Hospital.

When was this NPI record last updated?

The NPPES record for Brandy Bumgardner was last updated on March 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.