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MRS. MICHELLE LYNN BRENEMAN PNP
NPI 1043484371
Nurse Practitioner - Pediatrics in Lake Saint Louis, MO

Active since April 17, 2008PECOS Enrolled
100 BREVCO PLZ, STE 101, LAKE SAINT LOUIS, MO 63367(636) 561-5437(636) 561-5100 Get Directions Write a Review

NPPES record last updated: April 18, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 19, 2024, May 9, 2024, Nov 29, 2021 and 1 more (4 updates tracked since 2019).

About Mrs. Michelle Lynn Breneman Pnp NPPES

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

MRS. MICHELLE LYNN BRENEMAN PNP (NPI 1043484371) is an individual pediatrics provider in Lake Saint Louis, Missouri, licensed in Missouri (2003020311) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043484371
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMRS. MICHELLE LYNN BRENEMANCredential: PNP
Location Address100 BREVCO PLZ, STE 101Lake Saint Louis, MO 63367-1382
Mailing AddressPo Box 7412119Chicago, IL 60674-2119 · (636) 561-5437 · Fax (636) 561-5100
Phone(636) 561-5437
Fax(636) 561-5100
Sole ProprietorNo
Enumeration DateApril 17, 2008
Last NPPES UpdateApril 18, 20254 updates tracked since enumeration
NPPES CertifiedJuly 19, 2024
✔ NPI 1043484371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in MO · 2003020311
100 BREVCO PLZ, Lake Saint Louis, MO 63367
Open in Google Maps ↗

Other Identifiers 1

Medicaid420041212MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Michelle Lynn Breneman Pnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Michelle Breneman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wuca-Westside Pediatrics LLC
Same address
Pediatrics
100 BREVCO PLZ, SUITE 101
Lake St Louis, MO 63367
  • Reassigned Medicare billing, Missouri enrollment
  • 5 clinicians in this Medicare group
NPI 1700325123 (636) 561-5437

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 63367 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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 6

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

NARESH J SOLANKI M.D.
Pediatrics (Adolescent Medicine)
100 BREVCO PLZ, SUITE 101
LAKE ST LOUIS, MO 63367
St. Charles County (636) 561-5437
NARESH SOLANKI INC
Pediatrics (Adolescent Medicine)
100 BREVCO PLZ, SUITE 101
LAKE ST LOUIS, MO 63367
St. Charles County (636) 561-5437
DR. ELISE MARIA MARKER MD
Pediatrics
100 BREVCO PLZ, STE 101
LAKE SAINT LOUIS, MO 63367
St. Charles County (636) 561-5437
DR. RICHARD A FELKEL MD
Pediatrics
100 BREVCO PLZ, STE 101
LAKE SAINT LOUIS, MO 63367
St. Charles County (636) 561-5437
WUCA-WESTSIDE PEDIATRICS LLC
Pediatrics
100 BREVCO PLZ, SUITE 101
LAKE ST LOUIS, MO 63367
St. Charles County (636) 561-5437
DR. KRIS ANN ROBERTS DO
Pediatrics
100 BREVCO PLZ, STE 101
LAKE SAINT LOUIS, MO 63367
St. Charles County (636) 561-5437

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 Michelle Breneman's NPI number?

The NPI number for Michelle Breneman is 1043484371. It was assigned to this individual provider in the NPPES registry on April 17, 2008.

Where is Michelle Breneman located?

Michelle Breneman practices at 100 Brevco Plz Ste 101, Lake Saint Louis, MO 63367. The listed phone number is (636) 561-5437.

What is Michelle Breneman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Michelle Breneman enrolled in Medicare?

Yes. Michelle Breneman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michelle Breneman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Breneman reassigns Medicare benefits to Wuca-Westside Pediatrics LLC (Lake St Louis, MO). 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 Michelle Breneman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michelle Breneman accept?

Health plans from UnitedHealthcare list Michelle Breneman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michelle Breneman was last updated on April 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.