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BRENDA LEIGH BARROS ANTONACCIO
NPI 1538998265
Nurse Practitioner - Primary Care in Arlington, TN

Active since July 31, 2024PECOS Enrolled
6050 AIRLINE RD STE 109, ARLINGTON, TN 38002(901) 867-3367 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 27, 2025, Feb 26, 2025, Jul 31, 2024 (3 updates tracked since 2024).

About Brenda Leigh Barros Antonaccio NPPES

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

BRENDA LEIGH BARROS ANTONACCIO (NPI 1538998265) is an individual primary care provider in Arlington, Tennessee, licensed in Tennessee (36644) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1538998265
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameBRENDA LEIGH BARROS ANTONACCIO
Location Address6050 AIRLINE RD STE 109Arlington, TN 38002-4894
Mailing Address6050 Airline Rd Ste 109Arlington, TN 38002-4894 · Fax (901) 867-3329
Phone(901) 867-3367
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 31, 2024
Last NPPES UpdateMay 27, 20253 updates tracked since enumeration
NPPES CertifiedMay 27, 2025
✔ NPI 1538998265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in TN · 36644
6050 AIRLINE RD STE 109, Arlington, TN 38002
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brenda Leigh Barros Antonaccio is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9436649464
PECOS Enrollment IDI20251106005199
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 Reassignment

Medicare enrollment records show Brenda Leigh Antonaccio reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southeastern Emergency Physicians LLC
398 mi
Emergency Medicine
989 MEDICAL PARK DR
Maysville, KY 41056
  • Reassigned Medicare billing, Tennessee enrollment
  • 1,071 clinicians in this Medicare group
NPI 1356379382 (606) 759-5311

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 38002 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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

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

FAITH FAMILY MEDICAL SERVICES
Nurse Practitioner (Family)
6050 AIRLINE RD STE 109
ARLINGTON, TN 38002
Shelby County (901) 867-3367

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 Brenda Leigh Antonaccio's NPI number?

The NPI number for Brenda Leigh Antonaccio is 1538998265. It was assigned to this individual provider in the NPPES registry on July 31, 2024.

Where is Brenda Leigh Antonaccio located?

Brenda Leigh Antonaccio practices at 6050 Airline Rd Ste 109, Arlington, TN 38002. The listed phone number is (901) 867-3367.

What is Brenda Leigh Antonaccio's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Brenda Leigh Antonaccio enrolled in Medicare?

Yes. Brenda Leigh Antonaccio is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Brenda Leigh Antonaccio's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brenda Leigh Antonaccio reassigns Medicare benefits to Southeastern Emergency Physicians LLC (Maysville, KY). The 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 Brenda Leigh Antonaccio'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 Brenda Leigh Antonaccio was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.