George Brummell, PMHNP-BC
Nurse Practitioner, Psych/Mental Health in Carthage, IL. Individual provider (NPI-1).
NPI number1114693181
StatusActive
Last updated in NPPESJul 3, 2023
Details
- NPI
- 1114693181
- Entity type
- Individual (NPI-1)
- Name
- George Brummell
- Credential
- PMHNP-BC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 19, 2021
- Certification date
- Jul 3, 2023
- Last updated
- Jul 3, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 209026348 | IL | Yes |
| 163WP0809X | Registered Nurse, Psych/Mental Health, Adult | Ap61194142 | WA |
Practice location
1450 N County Road 2050 ECarthage, IL 62321-3551
Phone 217-357-6888
Mailing address
1450 N County Road 2050 ECarthage, IL 62321-3551
Phone 217-357-6888
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Other Psychiatric/Mental Health Nurse Practitioner providers in Carthage, IL
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