MIKEISHA BRANNOCK RDN
NPI 1962215293
Dietitian, Registered in Supply, NC
About Mikeisha Brannock Rdn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIKEISHA BRANNOCK RDN (NPI 1962215293) is an individual dietitian, registered in Supply, North Carolina and active in the NPI registry since January 2025. She is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
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
Mikeisha Brannock Rdn 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.
Medicare Billing Reassignment
Medicare enrollment records show Mikeisha Brannock reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Wilmington, NC 28403
- Reassigned Medicare billing, North Carolina and South Carolina enrollments
- 19 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28462 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mikeisha Brannock's NPI number?
The NPI number for Mikeisha Brannock is 1962215293. It was assigned to this individual provider in the NPPES registry on January 30, 2025.
Where is Mikeisha Brannock located?
Mikeisha Brannock practices at 20 Medical Campus Dr NW Ste 206, Supply, NC 28462. The listed phone number is (910) 239-3562.
What is Mikeisha Brannock's specialty?
The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.
Is Mikeisha Brannock enrolled in Medicare?
Yes. Mikeisha Brannock 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 organization bills Medicare for Mikeisha Brannock's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mikeisha Brannock reassigns Medicare benefits to Nutrition In Motion (Wilmington, NC). The 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 Mikeisha Brannock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mikeisha Brannock was last updated on January 30, 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.
# Mikeisha Brannock, RDN · NPI 1962215293
Dietitian, Registered provider in Supply, North Carolina. Individual provider, active in the CMS NPPES registry since January 30, 2025.
## Identity
- **NPI:** 1962215293 (Entity type: Individual)
- **Enumerated:** January 30, 2025
- **Primary specialty:** Dietitian, Registered · taxonomy 133V00000X
- **Sole proprietor:** No
## Practice location
- **Address:** 20 MEDICAL CAMPUS DR NW STE 206, Supply, NC 28462-4094
- **Phone:** (910) 239-3562
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Nutrition In Motion (NPI 1174800577, Wilmington, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** January 30, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1962215293) · Data from the CMS NPPES public registry.