MS. SANDRA BRENNER FNP
NPI 1629456355
Nurse Practitioner - Family in Jefferson City, MO

Active since May 14, 2015PECOS EnrolledAccepts Medicare Assignment
2511 W EDGEWOOD DR, JEFFERSON CITY, MO 65109(573) 761-0304 Get Directions Write a Review

NPPES record last updated: January 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Sandra Brenner Fnp NPPES

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

MS. SANDRA BRENNER FNP (NPI 1629456355) is an individual family provider in Jefferson City, Missouri, licensed in Missouri (2015016932) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital Jefferson City, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1629456355
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. SANDRA BRENNERCredential: FNP
Location Address2511 W EDGEWOOD DRJefferson City, MO 65109-5869
Mailing Address1714 Delta PlJefferson City, MO 65109-1287 · (573) 230-6110
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMay 14, 2015
Last NPPES UpdateJanuary 20, 2025
NPPES CertifiedJanuary 20, 2025
NPI 1629456355 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 MO · 2015016932
2511 W EDGEWOOD DR, Jefferson City, MO 65109

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

Ms. Sandra Brenner Fnp 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 ID3476867326
PECOS Enrollment IDI20150805007992
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.

Areas of Expertise CMS Part B claims 2

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
71 services63 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ssm Health St Mary's Hospital Jefferson City

Acute Care Hospitals · Jefferson City, MO
3/5 CMS rating
OwnershipProprietary
CMS Certification Number260011
Location2505 Mission DriveJefferson City, MO 65109 · Cole County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65109 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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 8

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

Nurse Practitioner (Family)
2511 W EDGEWOOD DR, STE D
JEFFERSON CITY, MO 65109
Nurse Practitioner (Family)
2511 W EDGEWOOD DR, SUITE D
JEFFERSON CITY, MO 65109
Nurse Practitioner (Family)
2511 W EDGEWOOD DR
JEFFERSON CITY, MO 65109
Family Medicine
2511 W EDGEWOOD DR, STE D
JEFFERSON CITY, MO 65109
Family Medicine
2511 W EDGEWOOD DR, SUITE F
JEFFERSON CITY, MO 65109
Nurse Practitioner (Family)
2511 W EDGEWOOD DR, SUITE D
JEFFERSON CITY, MO 65109
Family Medicine
2511 W EDGEWOOD DR, STE D
JEFFERSON CITY, MO 65109
Clinic/Center (Urgent Care)
2511 W EDGEWOOD DR, SUITE D
JEFFERSON CITY, MO 65109

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 Sandra Brenner's NPI number?

The NPI number for Sandra Brenner is 1629456355. It was assigned to this individual provider in the NPPES registry on May 14, 2015.

Where is Sandra Brenner located?

Sandra Brenner practices at 2511 W Edgewood Dr, Jefferson City, MO 65109. The listed phone number is (573) 761-0304.

What is Sandra Brenner's specialty?

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

Is Sandra Brenner enrolled in Medicare?

Yes. Sandra Brenner 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.

Is Sandra Brenner affiliated with any hospitals?

According to CMS data, Sandra Brenner is affiliated with Ssm Health St Mary's Hospital Jefferson City.

When was this NPI record last updated?

The NPPES record for Sandra Brenner was last updated on January 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.