MRS. BRENNA SHINE RUGG NP-C
NPI 1104646504
Nurse Practitioner - Adult Health in New Hyde Park, NY
About Mrs. Brenna Shine Rugg Np-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. BRENNA SHINE RUGG NP-C (NPI 1104646504) is an individual adult health provider in New Hyde Park, New York, licensed in New York (F31082401) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Brenna Shine Rugg Np-c 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11042 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Brenna Rugg's NPI number?
The NPI number for Brenna Rugg is 1104646504. It was assigned to this individual provider in the NPPES registry on October 11, 2024.
Where is Brenna Rugg located?
Brenna Rugg practices at 1 Dakota Dr Ste 302, New Hyde Park, NY 11042. The listed phone number is (516) 622-6145.
What is Brenna Rugg's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Brenna Rugg enrolled in Medicare?
Yes. Brenna Rugg 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.
When was this NPI record last updated?
The NPPES record for Brenna Rugg was last updated on March 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mrs. Brenna Shine Rugg, NP-C · NPI 1104646504
Adult Health physician in New Hyde Park, New York. Individual provider, active in the CMS NPPES registry since October 11, 2024.
## Identity
- **NPI:** 1104646504 (Entity type: Individual)
- **Enumerated:** October 11, 2024
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** F31082401 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1 DAKOTA DR STE 302, New Hyde Park, NY 11042-1136
- **Phone:** (516) 622-6145
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** March 21, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1104646504) · Data from the CMS NPPES public registry.