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AMANDA BRENNER MD
NPI 1104445113
Family Medicine - Geriatric Medicine in Jacksonville, FL

Active since April 09, 2020PECOS Enrolled
2436 UNIVERSITY BLVD W, JACKSONVILLE, FL 32217(904) 916-1845 Get Directions Write a Review

NPPES record last updated: August 21, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 8, 2025, Nov 11, 2024, Apr 9, 2020 (3 updates tracked since 2020).

About Amanda Brenner Md NPPES

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

AMANDA BRENNER MD (NPI 1104445113) is an individual geriatric medicine provider in Jacksonville, Florida, licensed in Florida (ME158502) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104445113
Entity TypeIndividualFemale
Primary Taxonomy207QG0300X
Provider Legal NameAMANDA BRENNERCredential: MD
Location Address2436 UNIVERSITY BLVD WJacksonville, FL 32217-2002
Mailing Address2001 Kingsley AveOrange Park, FL 32073-5148 · (904) 639-2000 · Fax (904) 639-2015
Phone(904) 916-1845
Sole ProprietorNo
Enumeration DateApril 9, 2020
Last NPPES UpdateAugust 21, 20253 updates tracked since enumeration
NPPES CertifiedAugust 21, 2025
✔ NPI 1104445113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
License✔ Licensed in FL · ME158502
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
Also ListedFamily MedicineTaxonomy 207Q00000X · License ME158502 (FL)
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License ME158502 (FL)
Also ListedHospitalistTaxonomy 208M00000X · License ME158502 (FL)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2436 UNIVERSITY BLVD W, Jacksonville, FL 32217
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Brenner Md 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 Reassignments

3

Medicare enrollment records show Amanda Brenner reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tower9vitality, PLLC
2.5 mi
Geriatric Medicine
5200 BELFORT RD STE 420
Jacksonville, FL 32256
  • Reassigned Medicare billing, Florida enrollment
  • 2 clinicians in this Medicare group
NPI 1912898073 (626) 627-2244
Hni Medical Services Of Florida, LLC
5.5 mi
Internal Medicine
1 SHIRCLIFF WAY
Jacksonville, FL 32204
  • Reassigned Medicare billing, Florida enrollment
  • 492 clinicians in this Medicare group
NPI 1679048284 (512) 730-3060
Hni Hospital Services Of Florida, LLC
241 mi
Critical Care Medicine
615 N BONITA AVE
Panama City, FL 32401
  • Reassigned Medicare billing, Florida enrollment
  • 281 clinicians in this Medicare group
NPI 1144851411 (440) 572-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
586 services108 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
393 services79 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
174 services156 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
107 services105 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
91 services83 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
71 services69 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32217 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 2

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

FSCZ LLC
Internal Medicine
2436 UNIVERSITY BLVD W
JACKSONVILLE, FL 32217
Duval County (904) 388-3351
MOHAMED SHAALAN, PLLC
Internal Medicine
2436 UNIVERSITY BLVD W
JACKSONVILLE, FL 32217
Duval County (203) 260-4836

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 Amanda Brenner's NPI number?

The NPI number for Amanda Brenner is 1104445113. It was assigned to this individual provider in the NPPES registry on April 9, 2020.

Where is Amanda Brenner located?

Amanda Brenner practices at 2436 University Blvd W, Jacksonville, FL 32217. The listed phone number is (904) 916-1845.

What is Amanda Brenner's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Is Amanda Brenner enrolled in Medicare?

Yes. Amanda Brenner is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Amanda Brenner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Brenner reassigns Medicare benefits to 3 organizations: Tower9vitality, PLLC (Jacksonville, FL), Hni Medical Services Of Florida, LLC (Jacksonville, FL) and Hni Hospital Services Of Florida, LLC (Panama City, FL). Each 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 Amanda 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 Amanda Brenner was last updated on August 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.