LAURIE A BRENNER PHD
NPI 1063811487
Psychologist - Clinical in Charlottesville, VA
About Laurie A Brenner Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAURIE A BRENNER PHD (NPI 1063811487) is an individual clinical provider in Charlottesville, Virginia, licensed in Virginia (0810005040) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Charlottesville.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Laurie A Brenner Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Laurie Brenner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Charlottesville, VA 22911
- Reassigned Medicare billing, Virginia enrollment
- 2,820 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 22908 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHARLOTTESVILLE, VA 22908
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 Laurie Brenner's NPI number?
The NPI number for Laurie Brenner is 1063811487. It was assigned to this individual provider in the NPPES registry on August 21, 2014.
Where is Laurie Brenner located?
Laurie Brenner practices at 1221 Lee St, Charlottesville, VA 22908. The listed phone number is (434) 924-2706.
What is Laurie Brenner's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Laurie Brenner enrolled in Medicare?
Yes. Laurie Brenner is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Laurie Brenner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Laurie Brenner reassigns Medicare benefits to University Of Virginia Physicians Group (Charlottesville, VA). 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 Laurie Brenner'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 Laurie Brenner 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.
# Laurie A Brenner, PHD · NPI 1063811487
Clinical provider in Charlottesville, Virginia. Individual provider, active in the CMS NPPES registry since August 21, 2014.
## Identity
- **NPI:** 1063811487 (Entity type: Individual)
- **Enumerated:** August 21, 2014
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 0810005040 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1221 LEE ST, Charlottesville, VA 22908-0001
- **Phone:** (434) 924-2706 · **Fax:** (434) 924-9068
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** University Of Virginia Physicians Group (NPI 1033138250, Charlottesville, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 24, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1063811487) · Data from the CMS NPPES public registry.