MS. KELLEY GRAYSON BRENNER PA-C
NPI 1689843054
Physician Assistant - Medical in Saint Cloud, FL

Q: What is Kelley Brenner's NPI number?

The NPI number for Kelley Brenner is 1689843054. It was assigned to this individual provider in the NPPES registry on February 29, 2008.

Q: What is Kelley Brenner's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Kelley Brenner was last updated on February 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 February 29, 2008PECOS Enrolled

3100 17TH ST, SAINT CLOUD, FL 34769(407) 891-3500(407) 892-3285 Get Directions Write a Review

NPPES record last updated: February 2, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ms. Kelley Grayson Brenner Pa-c NPPES

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

MS. KELLEY GRAYSON BRENNER PA-C (NPI 1689843054) is an individual medical provider in Saint Cloud, Florida, licensed in Florida (PA-9107363) and active in the NPI registry since February 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689843054

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMS. KELLEY GRAYSON BRENNERCredential: PA-C

Location Address3100 17TH STSaint Cloud, FL 34769-6021

Mailing Address3100 17th StSaint Cloud, FL 34769-6021 · (407) 891-3500 · Fax (407) 892-3285

Phone(407) 891-3500

Fax(407) 892-3285

Sole ProprietorNo

Enumeration DateFebruary 29, 2008

Last NPPES UpdateFebruary 2, 2016

✔ NPI 1689843054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

Licenses✔ Licensed in FL · PA-9107363✔ Licensed in VA · 0110002724

Also ListedPhysician AssistantTaxonomy 363A00000X · License 0110002724 (VA)

3100 17TH ST, Saint Cloud, FL 34769

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Kelley Grayson Brenner Pa-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.

Areas of Expertise CMS Part B claims 3

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 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.

60 services40 patients

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.

44 services34 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

24 services24 patients

Other Providers at the Same Location NPPES 9

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

RUKMINI GANGAPERSAUD FNP

Nurse Practitioner (Family)