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Active NPI 1669937611 Individual Practitioner Female Practitioner

Brenilla Vaughn , FNP

Nurse Practitioner • Brookhaven, MS

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Brenilla Vaughn, FNP is a certified Nurse Practitioner practicing in Brookhaven, MS. With approximately 8 years of clinical experience since completing medical education in 2018, Brenilla Vaughn delivers high-quality medical care to the local community at 747 INDUSTRIAL PARK RD NE.

Brenilla Vaughn maintains professional affiliations with Minor Med Care, Llc, Mdb Behavioral Health Services Llc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

747 Industrial Park Rd Ne

Brookhaven, MS 396012065

Telephone 6018334111
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Brookhaven, MS

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
8 Yrs -1.6 yrs vs City Avg
City Avg: 9.6 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
11 Specialists

Practicing in Brookhaven, MS (1098 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Vaughn (8 Years) 8 Yrs
Brookhaven Specialty Average (9.6 Years) 9.6 Yrs

Medical Specialties & State Licenses

CMS Verified: 2023-01-10
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MS 902851

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
002187356 (MS)

Hospital & Practice Group Affiliations

Mdb Behavioral Health Services Llc

1911 Mission, Vicksburg, MS 391803762

Phone: 6014562598

Minor Med Care, Llc

120 W Main St, Raymond, MS 391541223

Phone: 6018572341

Secondary Practice Locations

557 Grant Ferry Rd

Brandon, MS 390479023

Phone: 6016654162

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Montoyae Leavy , NP

Nurse Practitioner

NPI 1003392416

Nurse Practitioner

Ashton Duet , FNP-BC

Nurse Practitioner - Family

NPI 1356936033

Family Nurse Practitioner (Board Certified)

Dr. James Hall , MD

Internal Medicine

NPI 1871518597

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 04, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location February 04, 2019

Registered at 747 INDUSTRIAL PARK RD NE, BROOKHAVEN, MS 396012065 (Tel: 6018334111)

📍
Updated Business Mailing Address February 04, 2019

Registered at 747 INDUSTRIAL PARK RD NE, BROOKHAVEN, MS 396012065 (Tel: 6018334111)

👤
Provider Name / Credentials Updated February 04, 2019

Recorded as BRENILLA VAUGHN, FNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 04, 2019

Nurse Practitioner (License #902851 in MS)

🟢
Initial NPI Registration & Enumeration February 04, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669937611
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 04, 2019
Last Update: January 10, 2023
Sole Proprietor: Yes

Mailing Address

747 Industrial Park Rd Ne

Brookhaven, MS 396012065

Phone: 6018334111

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.