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BRENNA KATHLEEN TRESIDDER FNP
NPI 1144030040
Nurse Practitioner - Family in Ferndale, MI

Active since January 13, 2025PECOS Enrolled
911 E 9 MILE RD, FERNDALE, MI 48220(248) 336-4000 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Brenna Kathleen Tresidder Fnp NPPES

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

BRENNA KATHLEEN TRESIDDER FNP (NPI 1144030040) is an individual family provider in Ferndale, Michigan, licensed in Michigan (4704304820) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1144030040
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBRENNA KATHLEEN TRESIDDERCredential: FNP
Location Address911 E 9 MILE RDFerndale, MI 48220-1934
Mailing Address18000 W 9 Mile Rd Ste 200Southfield, MI 48075-4020 · (248) 336-4000
Phone(248) 336-4000
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJanuary 13, 2025
Last NPPES UpdateSeptember 17, 2025
NPPES CertifiedSeptember 17, 2025
✔ NPI 1144030040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MI · 4704304820
911 E 9 MILE RD, Ferndale, MI 48220
Open in Google Maps ↗

Other Names 1

Former Name (1)Brenna Mullen Fnp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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 (PECOS)

Brenna Kathleen Tresidder Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719482454
PECOS Enrollment IDI20250924003107
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

2

Medicare enrollment records show Brenna Tresidder reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Exclusive Physicians PLLC
21 mi
Multi-Specialty
911 E 9 MILE RD
Ferndale, MI 48220
  • Reassigned Medicare billing, Michigan enrollment
  • 44 clinicians in this Medicare group
NPI 1811226749 (248) 336-4000
Epic Care Centers Inc
30 mi
Family Medicine
4420 E DAVISON ST
Hamtramck, MI 48212
  • Reassigned Medicare billing, Michigan enrollment
  • 35 clinicians in this Medicare group
NPI 1659145506 (313) 752-2070

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 48220 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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 20

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

EPIC MEDICAL LAB PLLC
Clinical Medical Laboratory
911 E 9 MILE RD
FERNDALE, MI 48220
Oakland County (248) 336-4000
EPIC PHARMACY LLC
Pharmacy (Community/Retail Pharmacy)
911 E 9 MILE RD
FERNDALE, MI 48220
Oakland County (313) 485-9722
ROBERT C LEVINE MD
Family Medicine
911 E 9 MILE RD
FERNDALE, MI 48220
Oakland County (248) 336-4000
EPIC PHARMACY PLLC
Pharmacy (Community/Retail Pharmacy)
911 E 9 MILE RD
FERNDALE, MI 48220
Oakland County (248) 309-6640
DEENA CHABAAN PA-C
Physician Assistant (Medical)
911 E 9 MILE RD
FERNDALE, MI 48220
Oakland County (248) 336-4000
MEGAN SHELBY LENNOX FNP-C
Nurse Practitioner (Family)
911 E 9 MILE RD
FERNDALE, MI 48220
Oakland County (248) 336-4000
BETHANY XIONG PA-C
Physician Assistant
911 E 9 MILE RD
FERNDALE, MI 48220
Oakland County (248) 330-4000
EXCLUSIVE PHYSICIANS PLLC
Clinical Medical Laboratory
911 E 9 MILE RD
FERNDALE, MI 48220
Oakland County (248) 336-4000

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 Tresidder's NPI number?

The NPI number for Brenna Tresidder is 1144030040. It was assigned to this individual provider in the NPPES registry on January 13, 2025. The provider is also known as Brenna Mullen Fnp.

Where is Brenna Tresidder located?

Brenna Tresidder practices at 911 E 9 Mile Rd, Ferndale, MI 48220. The listed phone number is (248) 336-4000.

What is Brenna Tresidder's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Brenna Tresidder enrolled in Medicare?

Yes. Brenna Tresidder is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Brenna Tresidder's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brenna Tresidder reassigns Medicare benefits to 2 organizations: Exclusive Physicians PLLC (Ferndale, MI) and Epic Care Centers Inc (Hamtramck, MI). 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 Brenna Tresidder's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brenna Tresidder accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Brenna Tresidder 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 Brenna Tresidder was last updated on September 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.