NICHOLAS BRANTLEY SR.
NPI 1942891569
Nurse Practitioner - Family in Panama City, FL

Active since January 27, 2021PECOS EnrolledAccepts Medicare Assignment
5524 MARS HILL LN, PANAMA CITY, FL 32404(727) 804-8193(850) 387-2776 Get Directions Write a Review

NPPES record last updated: January 6, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 6, 2025, Jan 27, 2021 (2 updates tracked since 2021).

About Nicholas Brantley Sr. NPPES

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

NICHOLAS BRANTLEY SR. (NPI 1942891569) is an individual family provider in Panama City, Florida, licensed in Florida (APRN11010854) and active in the NPI registry since January 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1942891569
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameNICHOLAS BRANTLEY SR.
Location Address5524 MARS HILL LNPanama City, FL 32404-4327
Mailing Address5524 Mars Hill LnPanama City, FL 32404-4327 · (727) 804-8193
Fax(850) 387-2776
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 27, 2021
Last NPPES UpdateJanuary 6, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2025
✔ NPI 1942891569 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 FL · APRN11010854
5524 MARS HILL LN, Panama City, FL 32404

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicholas Brantley Sr. 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 ID2769874460
PECOS Enrollment IDI20220615000568
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Nicholas Brantley reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family
489 N TYNDALL PKWY
Panama City, FL 32404
  • Reassigned Medicare billing, Florida enrollment
Psychiatric Hospital
1940 HARRISON AVENUE
Panama City, FL 32405
  • Reassigned Medicare billing, Florida enrollment
  • 31 clinicians in this Medicare group
Geriatric Medicine
4641 OLD CANOE CREEK RD
Saint Cloud, FL 34769
  • Reassigned Medicare billing, Florida enrollment
  • 57 clinicians in this Medicare group
Geriatric Medicine
6710 MALLERY DR
Lanham, MD 20706
  • Reassigned Medicare billing, Florida enrollment
  • 102 clinicians in this Medicare group
Nurse Practitioner
8820 COLUMBIA 100 PKWY STE 430
Columbia, MD 21045
  • Reassigned Medicare billing, Florida enrollment
  • 52 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims

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.
18 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32404 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 Nicholas Brantley's NPI number?

The NPI number for Nicholas Brantley is 1942891569. It was assigned to this individual provider in the NPPES registry on January 27, 2021.

Where is Nicholas Brantley located?

Nicholas Brantley practices at 5524 Mars Hill Ln, Panama City, FL 32404. The listed phone number is (727) 804-8193.

What is Nicholas Brantley's specialty?

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

Is Nicholas Brantley enrolled in Medicare?

Yes. Nicholas Brantley 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.

Which organizations bill Medicare for Nicholas Brantley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Brantley reassigns Medicare benefits to 5 organizations: Brantley Health And Wellness LLC (Panama City, FL), Emerald Coast Behavioral Hospital, LLC (Panama City, FL), Altea Medical Florida PLLC (Saint Cloud, FL), Post Acute Medical PLLC (Lanham, MD) and Provider Partners Care Management LP (Columbia, MD). Each 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 Nicholas Brantley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicholas Brantley accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Nicholas Brantley 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 Nicholas Brantley was last updated on January 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.