DONNA J BRENENSTALL APN
NPI 1407817422
Nurse Practitioner in Peoria, IL

Active since March 29, 2006
5401 N KNOXVILLE AVE STE 114, PEORIA, IL 61614(309) 689-8477(309) 683-0201 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Donna J Brenenstall Apn NPPES

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

DONNA J BRENENSTALL APN (NPI 1407817422) is an individual nurse practitioner in Peoria, Illinois, licensed in Illinois (209001128) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1407817422
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameDONNA J BRENENSTALLCredential: APN
Location Address5401 N KNOXVILLE AVE STE 114Peoria, IL 61614-5091
Mailing Address5401 N Knoxville Ave Ste 114Peoria, IL 61614-5091 · (309) 689-8477 · Fax (309) 683-0201
Fax(309) 683-0201
Sole ProprietorNo
Enumeration DateMarch 29, 2006
Last NPPES UpdateMarch 7, 2023
NPI 1407817422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in IL · 209001128
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
5401 N KNOXVILLE AVE STE 114, Peoria, IL 61614

Other Identifiers 3

Other309001107Cont Subs
Other209001128Apn
Other041149492Rn

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 Donna Brenenstall's NPI number?

The NPI number for Donna Brenenstall is 1407817422. It was assigned to this individual provider in the NPPES registry on March 29, 2006.

Where is Donna Brenenstall located?

Donna Brenenstall practices at 5401 N Knoxville Ave Ste 114, Peoria, IL 61614. The listed phone number is (309) 689-8477.

What is Donna Brenenstall's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Donna Brenenstall was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.