MRS. DONNA ANN FORT-BRENNAN SLP
NPI 1053689646
Speech-Language Pathologist in Miller Place, NY
About Mrs. Donna Ann Fort-brennan Slp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. DONNA ANN FORT-BRENNAN SLP (NPI 1053689646) is an individual speech-language pathologist provider in Miller Place, New York, licensed in New York (006335) and active in the NPI registry since December 2011. She is a graduate of Other (1989).
NPPES Registry Identity
Specialties & Licenses
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
Mrs. Donna Ann Fort-brennan Slp 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.
Medicare Billing Reassignment
Medicare enrollment records show Donna Fort-brennan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
East Meadow, NY 11554
- Reassigned Medicare billing, New York enrollment
- 110 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.
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 Donna Fort-brennan's NPI number?
The NPI number for Donna Fort-brennan is 1053689646. It was assigned to this individual provider in the NPPES registry on December 9, 2011.
Where is Donna Fort-brennan located?
Donna Fort-brennan practices at 76 Woodland Rd, Miller Place, NY 11764. The listed phone number is (631) 509-5551.
What is Donna Fort-brennan's specialty?
The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.
Is Donna Fort-brennan enrolled in Medicare?
Yes. Donna Fort-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 Donna Fort-brennan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Donna Fort-brennan reassigns Medicare benefits to Epic Long Island (East Meadow, NY). 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 Donna Fort-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 Donna Fort-brennan was last updated on December 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Mrs. Donna Ann Fort-Brennan, SLP · NPI 1053689646
Speech-Language Pathologist provider in Miller Place, New York. Individual provider, active in the CMS NPPES registry since December 9, 2011.
## Identity
- **NPI:** 1053689646 (Entity type: Individual)
- **Enumerated:** December 9, 2011
- **Primary specialty:** Speech-Language Pathologist · taxonomy 235Z00000X
- **State license:** 006335 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 76 WOODLAND RD, Miller Place, NY 11764-1944
- **Phone:** (631) 509-5551
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Epic Long Island (NPI 1174563936, East Meadow, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1989
## Record status
- **NPPES last updated:** December 9, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1053689646) · Data from the CMS NPPES public registry.