THEODORE WC BRENTON NP
NPI 1033696315
Nurse Practitioner - Family in Sacramento, CA

Active since July 19, 2018PECOS EnrolledAccepts Medicare Assignment
4501 X STREET, SACRAMENTO, CA 95817(916) 734-5981(916) 734-0631 Get Directions Write a Review

NPPES record last updated: August 14, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 14, 2019, Jul 19, 2018 (2 updates tracked since 2018).

About Theodore Wc Brenton Np NPPES

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

THEODORE WC BRENTON NP (NPI 1033696315) is an individual family provider in Sacramento, California, licensed in California (95009430) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1033696315
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameTHEODORE WC BRENTONCredential: NP
Location Address4501 X STREETSacramento, CA 95817-2229
Mailing Address4501 X Street, Suite 3016Sacramento, CA 95817-2229 · (916) 734-3772
Fax(916) 734-0631
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 19, 2018
Last NPPES UpdateAugust 14, 20192 updates tracked since enumeration
✔ NPI 1033696315 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 CA · 95009430
4501 X STREET, Sacramento, CA 95817

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

Theodore Wc Brenton Np 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 ID5092066969
PECOS Enrollment IDI20180918000171
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 Reassignment

Medicare enrollment records show Theodore Brenton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Maternal & Fetal Medicine
4860 Y ST
Sacramento, CA 95817
  • Reassigned Medicare billing, California enrollment
  • 2,570 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
41 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95817 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
4501 X STREET
SACRAMENTO, CA 95817
Nurse Practitioner
4501 X STREET
SACRAMENTO, CA 95817
Nurse Practitioner (Family)
4501 X STREET
SACRAMENTO, CA 95817
Radiology (Radiation Oncology)
4501 X STREET, GROUND FLOOR
SACRAMENTO, CA 95817
Nurse Practitioner (Family)
4501 X STREET
SACRAMENTO, CA 95817
Nurse Practitioner (Family)
4501 X STREET
SACRAMENTO, CA 95817
Nurse Practitioner
4501 X STREET
SACRAMENTO, CA 95817
Nurse Practitioner (Family)
4501 X STREET
SACRAMENTO, CA 95817

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 Theodore Brenton's NPI number?

The NPI number for Theodore Brenton is 1033696315. It was assigned to this individual provider in the NPPES registry on July 19, 2018.

Where is Theodore Brenton located?

Theodore Brenton practices at 4501 X Street, Sacramento, CA 95817. The listed phone number is (916) 734-5981.

What is Theodore Brenton's specialty?

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

Is Theodore Brenton enrolled in Medicare?

Yes. Theodore Brenton 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 Theodore Brenton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theodore Brenton reassigns Medicare benefits to Regents Of The Univ Of Ca (Sacramento, CA). 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 Theodore Brenton'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 Theodore Brenton was last updated on August 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.