AUDREY MICHELLE BRENNAN FNP-C
NPI 1679231690
Nurse Practitioner in Alton, IL

Q: What is Audrey Brennan's NPI number?

The NPI number for Audrey Brennan is 1679231690. It was assigned to this individual provider in the NPPES registry on December 7, 2021. The provider is also known as Audrey Michelle Darbonne Fnp-C.

Q: What is Audrey Brennan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Audrey Brennan was last updated on June 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since December 07, 2021PECOS Enrolled

4 MEMORIAL DR STE 230, ALTON, IL 62002(618) 465-8666 Get Directions Write a Review

NPPES record last updated: June 12, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 12, 2024, Jun 3, 2024, Dec 23, 2022 and 3 more (6 updates tracked since 2021).

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About Audrey Michelle Brennan Fnp-c NPPES

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

AUDREY MICHELLE BRENNAN FNP-C (NPI 1679231690) is an individual nurse practitioner in Alton, Illinois, licensed in Illinois (209025875) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1679231690

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameAUDREY MICHELLE BRENNANCredential: FNP-C

Location Address4 MEMORIAL DR STE 230Alton, IL 62002-6704

Mailing Address660 Mason Ridge Center Dr Ste 300Saint Louis, MO 63141-8512 · (314) 448-3791 · Fax (314) 996-7658

Phone(618) 465-8666

Sole ProprietorNo

Enumeration DateDecember 7, 2021

Last NPPES UpdateJune 12, 20246 updates tracked since enumeration

NPPES CertifiedJune 12, 2024

✔ NPI 1679231690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in IL · 209025875✔ Licensed in MO · 2021048680

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.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 2021048680 (MO)

4 MEMORIAL DR STE 230, Alton, IL 62002

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Other Names 1

Former Name (1)Audrey Michelle Darbonne Fnp-c

Secondary Practice Locations 3

Location 1371 S Broadview StCape Girardeau, MO 63703-5761 · Phone (573) 331-7830

Location 21701 Lacey StCape Girardeau, MO 63701-5230 · Phone (573) 334-4822

Location 31225 Graham Rd Ste 232CFlorissant, MO 63031-8012 · Phone (618) 466-8666

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Audrey Michelle Brennan Fnp-c 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.

Medicare Billing Reassignments

Medicare enrollment records show Audrey Brennan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Fairview Heights Medical Group Sc

23 mi

Multi-Specialty

670 MASON RIDGE CENTER DR STE 300
Saint Louis, MO 63141

Reassigned Medicare billing, Missouri enrollment
140 clinicians in this Medicare group

NPI 1679503668 (314) 996-7644

Physician Groups Lc

23 mi

Multi-Specialty

670 MASON RIDGE CENTER DR STE 300
Saint Louis, MO 63141

Reassigned Medicare billing, Missouri enrollment
611 clinicians in this Medicare group

NPI 1285664268 (314) 996-7644

Southeast Missouri Hospital Physicians, LLC

114 mi

Family Medicine

1701 LACEY ST
Cape Girardeau, MO 63701

Reassigned Medicare billing, Missouri enrollment
470 clinicians in this Medicare group

NPI 1558311522 (573) 331-6880

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

76 services71 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62002 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

$88.44 typical visit price

range $56.28 – $173.35

Typical copayment $22.11 (range $14.07 – $43.33)

Most-billed visit code 99203

Established Patient

$99.71 typical visit price

range $17.51 – $139.99

Typical copayment $24.92 (range $4.37 – $34.99)

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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers11 claims11 services$19.93 avg. paid by Medicare

High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each E0483

DME-Other DME · category DE000N

3 suppliers23 claims23 services$867.27 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

3 suppliers13 claims13 services$9.35 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

6 suppliers39 claims39 services$100.71 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

4 suppliers17 claims17 services$37.35 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 18

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

PUJA GURUNG M.D.

Family Medicine (Sleep Medicine)