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ELIZABETH ANN BRENNAN PMHNP
NPI 1053134908
Nurse Practitioner - Psychiatric/Mental Health in Plymouth, MN

Active since November 07, 2024PECOS EnrolledAccepts Medicare Assignment
9655 SCHMIDT LAKE RD STE 150, PLYMOUTH, MN 55442(763) 559-1640(763) 559-1617 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 24, 2026, Nov 7, 2024 (2 updates tracked since 2024).

About Elizabeth Ann Brennan Pmhnp NPPES

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

ELIZABETH ANN BRENNAN PMHNP (NPI 1053134908) is an individual psychiatric/mental health provider in Plymouth, Minnesota, licensed in Minnesota (12163) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1053134908
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameELIZABETH ANN BRENNANCredential: PMHNP
Location Address9655 SCHMIDT LAKE RD STE 150Plymouth, MN 55442-4507
Mailing Address3300 Fernbrook Ln N Ste 120Plymouth, MN 55447-5339 · (763) 559-7050 · Fax (763) 559-7060
Phone(763) 559-1640
Fax(763) 559-1617
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 7, 2024
Last NPPES UpdateMarch 24, 20262 updates tracked since enumeration
NPPES CertifiedMarch 24, 2026
✔ NPI 1053134908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MN · 12163
9655 SCHMIDT LAKE RD STE 150, Plymouth, MN 55442
Open in Google Maps ↗

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

Elizabeth Ann Brennan Pmhnp 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 ID2567966278
PECOS Enrollment IDI20250916004640
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 Elizabeth Brennan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Plymouth Psych Group, LLC
3.7 mi
Mental Health
3021 HARBOR LN N, SUITE 206
Plymouth, MN 55447
  • Reassigned Medicare billing, Minnesota enrollment
  • 25 clinicians in this Medicare group
NPI 1003195942 (651) 271-9005

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 55442 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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 4

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

LAUREN HESKIN CNP, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
9655 SCHMIDT LAKE RD STE 150
PLYMOUTH, MN 55442
Hennepin County (763) 559-1640
JOHN IKECHUKWU NWABUGWU PHMNP
Nurse Practitioner (Psychiatric/Mental Health)
9655 SCHMIDT LAKE RD STE 150
PLYMOUTH, MN 55442
Hennepin County (507) 282-0724
MATTHEW URBAN PMHNP - BC
Nurse Practitioner (Psychiatric/Mental Health)
9655 SCHMIDT LAKE RD STE 150
PLYMOUTH, MN 55442
Hennepin County (763) 559-1640
DR. TITILOPE OLAOLUWA OMISAKIN DNP, APRN, CNP
Nurse Practitioner (Psychiatric/Mental Health)
9655 SCHMIDT LAKE RD STE 150
PLYMOUTH, MN 55442
Hennepin County (763) 559-1640

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 Elizabeth Brennan's NPI number?

The NPI number for Elizabeth Brennan is 1053134908. It was assigned to this individual provider in the NPPES registry on November 7, 2024.

Where is Elizabeth Brennan located?

Elizabeth Brennan practices at 9655 Schmidt Lake Rd Ste 150, Plymouth, MN 55442. The listed phone number is (763) 559-1640.

What is Elizabeth Brennan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Elizabeth Brennan enrolled in Medicare?

Yes. Elizabeth Brennan 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 Elizabeth Brennan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Brennan reassigns Medicare benefits to Plymouth Psych Group, LLC (Plymouth, MN). 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 Elizabeth Brennan'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 Elizabeth Brennan was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.