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SHEILA STEINBRENNER PHD, APRN, PMHNP-BC
NPI 1124672126
Nurse Practitioner - Psychiatric/Mental Health in Lexington, KY

Active since July 29, 2019PECOS EnrolledAccepts Medicare Assignment
1030 MONARCH ST STE 200, LEXINGTON, KY 40513(859) 296-3141 Get Directions Write a Review

NPPES record last updated: June 22, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 22, 2021, Jan 5, 2021, Jul 29, 2019 (3 updates tracked since 2019).

About Sheila Steinbrenner Phd, Aprn, Pmhnp-bc NPPES

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

SHEILA STEINBRENNER PHD, APRN, PMHNP-BC (NPI 1124672126) is an individual psychiatric/mental health provider in Lexington, Kentucky, licensed in Kentucky (3013619) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1124672126
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSHEILA STEINBRENNERCredential: PHD, APRN, PMHNP-BC
Location Address1030 MONARCH ST STE 200Lexington, KY 40513-1880
Mailing Address1030 Monarch St Ste 200Lexington, KY 40513-1880
Phone(859) 296-3141
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 29, 2019
Last NPPES UpdateJune 22, 20223 updates tracked since enumeration
NPPES CertifiedJune 22, 2022
✔ NPI 1124672126 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
Licenses✔ Licensed in KY · 3013619✔ Licensed in WA · AP60988180
1030 MONARCH ST STE 200, Lexington, KY 40513
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, CareSource, Premera Blue Cross Blue Shield of Alaska and more.Insurance ›

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

Sheila Steinbrenner Phd, Aprn, Pmhnp-bc 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.

PECOS PAC ID5698109965
PECOS Enrollment IDI20191218002948
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

4

Medicare enrollment records show Sheila Steinbrenner reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Providence Health & Services Washington
2,027 mi
Rehabilitation, Substance Use Disorder
4800 COLLEGE ST SE
Lacey, WA 98503
  • Reassigned Medicare billing, Washington enrollment
  • 184 clinicians in this Medicare group
NPI 1689805509 (360) 456-7575
Providence Health & Services Washington
2,029 mi
Family Medicine
525 LILLY RD NE
Olympia, WA 98506
  • Reassigned Medicare billing, Washington enrollment
  • 646 clinicians in this Medicare group
NPI 1174744304 (360) 793-7230
Northwest Resources II
2,033 mi
Addiction (Substance Use Disorder)
2708 WESTMOOR CT SW
Olympia, WA 98502
  • Reassigned Medicare billing, Washington enrollment
  • 8 clinicians in this Medicare group
NPI 1164586210 (360) 943-8810
Providence Health & Services Washington
2,034 mi
General Acute Care Hospital
914 S SCHEUBER RD
Centralia, WA 98531
  • Reassigned Medicare billing, Washington enrollment
  • 85 clinicians in this Medicare group
NPI 1275732661 (360) 736-2803

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 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
121 services29 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
26 services18 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40513 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

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 Sheila Steinbrenner's NPI number?

The NPI number for Sheila Steinbrenner is 1124672126. It was assigned to this individual provider in the NPPES registry on July 29, 2019.

Where is Sheila Steinbrenner located?

Sheila Steinbrenner practices at 1030 Monarch St Ste 200, Lexington, KY 40513. The listed phone number is (859) 296-3141.

What is Sheila Steinbrenner's specialty?

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

Is Sheila Steinbrenner enrolled in Medicare?

Yes. Sheila Steinbrenner 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 organizations bill Medicare for Sheila Steinbrenner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sheila Steinbrenner reassigns Medicare benefits to 4 organizations: Providence Health & Services Washington (Lacey, WA), Providence Health & Services Washington (Olympia, WA), Northwest Resources II (Olympia, WA) and Providence Health & Services Washington (Centralia, WA). 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 Sheila Steinbrenner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sheila Steinbrenner accept?

Health plans from Ambetter Health, CareSource, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Sheila Steinbrenner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sheila Steinbrenner was last updated on June 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.