HANNAH LEE BRENNER
NPI 1083452189
Nurse Practitioner - Psychiatric/Mental Health in West Memphis, AR

Q: What is Hannah Brenner's NPI number?

The NPI number for Hannah Brenner is 1083452189. It was assigned to this individual provider in the NPPES registry on July 15, 2024.

Q: What is Hannah Brenner's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Hannah Brenner was last updated on March 17, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 15, 2024PECOS Enrolled

410 S AVALON ST, WEST MEMPHIS, AR 72301(901) 621-3966(870) 551-9191 Get Directions Write a Review

NPPES record last updated: March 17, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 17, 2026, Sep 11, 2025, Jul 15, 2024 (3 updates tracked since 2024).

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About Hannah Lee Brenner NPPES

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

HANNAH LEE BRENNER (NPI 1083452189) is an individual psychiatric/mental health provider in West Memphis, Arkansas, licensed in Mississippi (906800) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Hernando, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1083452189

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameHANNAH LEE BRENNER

Location Address410 S AVALON STWest Memphis, AR 72301-4183

Mailing Address2587 Bluff RdHernando, MS 38632-4121 · (901) 570-9525 · Fax (870) 551-9191

Phone(901) 621-3966

Fax(870) 551-9191

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJuly 15, 2024

Last NPPES UpdateMarch 17, 20263 updates tracked since enumeration

NPPES CertifiedMarch 17, 2026

✔ NPI 1083452189 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 MS · 906800

410 S AVALON ST, West Memphis, AR 72301

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Secondary Practice Location 1

Location 1220 Oak Tree DrHernando, MS 38632-1196 · Phone (662) 510-8606

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hannah Lee Brenner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6608350947

PECOS Enrollment IDI20260324003714

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72301 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

$79.72 typical visit price

range $51.36 – $157.74

Typical copayment $19.93 (range $12.84 – $39.43)

Most-billed visit code 99203

Established Patient

$91.63 typical visit price

range $16.16 – $128.77

Typical copayment $22.90 (range $4.04 – $32.19)

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.