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BRENDA JEAN PONTILLO NP
NPI 1699809541
Nurse Practitioner in New York, NY

Active since March 15, 2007PECOS Enrolled
21 AUDUBON AVE, NEW YORK, NY 10032(929) 715-3632 Get Directions Write a Review

NPPES record last updated: June 10, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 10, 2024, Jun 10, 2019 (2 updates tracked since 2019).

About Brenda Jean Pontillo Np NPPES

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

BRENDA JEAN PONTILLO NP (NPI 1699809541) is an individual nurse practitioner in New York, New York, licensed in Michigan (4704188594) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Brooklyn.

NPPES Registry Identity

NPI1699809541
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameBRENDA JEAN PONTILLOCredential: NP
Location Address21 AUDUBON AVENew York, NY 10032-2275
Mailing Address251 Fort Washington Ave Apt 46New York, NY 10032-1248 · (734) 883-7967
Phone(929) 715-3632
Sole ProprietorNo
Enumeration DateMarch 15, 2007
Last NPPES UpdateJune 10, 20242 updates tracked since enumeration
NPPES CertifiedJune 10, 2024
✔ NPI 1699809541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MI · 4704188594
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.
21 AUDUBON AVE, New York, NY 10032
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Secondary Practice Location 1

Location 126 Court St Ste 816Brooklyn, NY 11242-1108 · Phone (347) 987-4233

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brenda Jean Pontillo Np 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 Reassignment

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

Downriver Mental Health Clinic PC
477 mi
Mental Health (Including Community Mental Health Center)
24715 LITTLE MACK AVE, SUITE 200
Saint Clair Shores, MI 48080
  • Reassigned Medicare billing, Michigan enrollment
  • 451 clinicians in this Medicare group
NPI 1598893141 (586) 777-9000

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 10032 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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 18

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

JOSE ABEL PELAEZ M.D.
Emergency Medicine (Emergency Medical Services)
21 AUDUBON AVE
NEW YORK, NY 10032
New York County (212) 342-4700
ELISE MADELEINE WALKER
Physical Therapist
21 AUDUBON AVE
NEW YORK, NY 10032
New York County (212) 342-3200
MR. PEDRO JUSTO GUZMAN PAC
Physician Assistant (Medical)
21 AUDUBON AVE
NEW YORK, NY 10032
New York County (212) 342-4700
JOANNA PUDIL LCSW
Social Worker (Clinical)
21 AUDUBON AVE, PROJECT STAY
NEW YORK, NY 10032
New York County (646) 284-9732
KATHRYNE GEORGIANA CORONA RN, CNM, NP
Nurse Practitioner (Obstetrics & Gynecology)
21 AUDUBON AVE, FIRST FLOOR
NEW YORK, NY 10032
New York County (212) 342-3200
ALEXANDRA BIBIK CHRISTOPHER LMSW
Social Worker
21 AUDUBON AVE
NEW YORK, NY 10032
New York County (646) 319-4186
MS. KARI BETH ROSEN LMSW
Social Worker (Clinical)
21 AUDUBON AVE, FAMILY PLANNING CLINIC
NEW YORK, NY 10032
New York County (212) 342-4692
DARLENIS RAMOS LCSW
Social Worker (Clinical)
21 AUDUBON AVE
NEW YORK, NY 10032
New York County (347) 835-1061

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 Pontillo's NPI number?

The NPI number for Brenda Pontillo is 1699809541. It was assigned to this individual provider in the NPPES registry on March 15, 2007.

Where is Brenda Pontillo located?

Brenda Pontillo practices at 21 Audubon Ave, New York, NY 10032. The listed phone number is (929) 715-3632.

What is Brenda Pontillo's specialty?

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

Is Brenda Pontillo enrolled in Medicare?

Yes. Brenda Pontillo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Brenda Pontillo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brenda Pontillo reassigns Medicare benefits to Downriver Mental Health Clinic PC (Saint Clair Shores, MI). 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 Pontillo'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 Pontillo was last updated on June 10, 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.