BRENNA HOFF PROUDFOOT FNP
NPI 1649721572
Nurse Practitioner - Family in Huntington Beach, CA

Q: What is Brenna Proudfoot's NPI number?

The NPI number for Brenna Proudfoot is 1649721572. It was assigned to this individual provider in the NPPES registry on October 14, 2016.

Q: What is Brenna Proudfoot's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Brenna Proudfoot was last updated on June 26, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 14, 2016PECOS Enrolled

19066 MAGNOLIA ST, HUNTINGTON BEACH, CA 92646(562) 988-7110(562) 988-7111 Get Directions Write a Review

NPPES record last updated: June 26, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Brenna Hoff Proudfoot Fnp NPPES

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

BRENNA HOFF PROUDFOOT FNP (NPI 1649721572) is an individual family provider in Huntington Beach, California, licensed in California (95004968) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649721572

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameBRENNA HOFF PROUDFOOTCredential: FNP

Location Address19066 MAGNOLIA STHuntington Beach, CA 92646-2232

Mailing Address2600 Redondo AveLong Beach, CA 90806-2325 · (562) 988-7110 · Fax (562) 988-7111

Phone(562) 988-7110

Fax(562) 988-7111

Sole ProprietorNo

Enumeration DateOctober 14, 2016

Last NPPES UpdateJune 26, 2023

NPPES CertifiedJune 26, 2023

✔ NPI 1649721572 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 CA · 95004968

19066 MAGNOLIA ST, Huntington Beach, CA 92646

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92646 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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.

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