Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Brentt Charles Vansickle, FNP-C

Individual provider Nurse Practitioner · NPI 1295212611

Mr. Brentt Charles Vansickle, FNP-C is a Nurse Practitioner in Kokomo, Indiana. Qualified in 2018, 8 years ago. Practices with St Vincent Medical Group Inc, a 727-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
8
Licensed in
IN
In the registry since
2018
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

138 N Dixon Rd
Kokomo, IN 46901-4154
Phone: (765) 236-8282
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 615 Saint Joseph Dr, Kokomo, IN 46901-1890 — (765) 459-4070
  • 1000 N Broadway, Peru, IN 46970-1070 — (765) 472-5519

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71008446A (IN)
Nurse Practitioner Taxonomy 363L00000X · Licence 28191762A (IN)

Record details

NPI number1295212611
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedJuly 27, 2018
Last updated in NPPESMarch 14, 2024
Certification dateMarch 14, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice St Vincent Medical Group Inc — 727 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Kokomo