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TERESA BRENNAN R.D.
NPI 1700032000
Dietitian, Registered in Ketchum, ID

Active since August 18, 2008
73.73/100
CMS Quality Rating
100 HOSPITAL DR, KETCHUM, ID 83340(208) 727-8800 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Teresa Brennan R.d. NPPES

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

TERESA BRENNAN R.D. (NPI 1700032000) is an individual dietitian, registered in Ketchum, Idaho, licensed in Idaho (D-1121) and active in the NPI registry since August 2008.

NPPES Registry Identity

NPI1700032000
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameTERESA BRENNANCredential: R.D.
Location Address100 HOSPITAL DRKetchum, ID 83340
Mailing Address190 E Bannock StBoise, ID 83712-6241
Phone(208) 727-8800
Sole ProprietorNo
Enumeration DateAugust 18, 2008
Last NPPES UpdateJuly 21, 2022
NPPES CertifiedJuly 21, 2022
✔ NPI 1700032000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Licenses✔ Licensed in ID · D-1121✔ Licensed in WA · 961682
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
100 HOSPITAL DR, Ketchum, ID 83340
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Teresa Brennan R.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

St Lukes Clinic - Wood River LLC
Same address
Internal Medicine
100 HOSPITAL DRIVE
Ketchum, ID 83340
  • Reassigned Medicare billing, Idaho enrollment
  • 74 clinicians in this Medicare group
NPI 1972891604 (208) 727-8100

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

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

73.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.51
Promoting Interoperability100
Improvement Activities40
Cost33.93

Other Providers at the Same Location NPPES 20

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

SYNAPS CORP
Nurse Anesthetist, Certified Registered
100 HOSPITAL DR
KETCHUM, ID 83340
Blaine County (208) 406-1727
CAITLIN FERRY M.S., CCC-SLP
Speech-Language Pathologist
100 HOSPITAL DR
KETCHUM, ID 83340
Blaine County (208) 727-8800
ROYAL MCCLURE MD
Internal Medicine
100 HOSPITAL DR, STE 201
KETCHUM, ID 83340
Blaine County (208) 727-8888
DR. HADI BHURGRI MD
Internal Medicine (Gastroenterology)
100 HOSPITAL DR
KETCHUM, ID 83340
Blaine County (208) 727-8888
SAWTOOTH ORTHOPEDIC & FRACTURE CLINIC, PA
Clinic/Center (Medical Specialty)
100 HOSPITAL DR, SUITE 107
KETCHUM, ID 83340
Blaine County (208) 622-3311
KERRY ANN RENNER RN
Registered Nurse (Orthopedic)
100 HOSPITAL DR
KETCHUM, ID 83340
Blaine County (208) 726-5027
JAMES CLEVELAND CRNA
Nurse Anesthetist, Certified Registered
100 HOSPITAL DR
KETCHUM, ID 83340
Blaine County (208) 727-8800
SIARRA WALKER OTR/L, OTD, ATC
Occupational Therapist
100 HOSPITAL DR, SUITE 104
KETCHUM, ID 83340
Blaine County (208) 727-8253

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 Teresa Brennan's NPI number?

The NPI number for Teresa Brennan is 1700032000. It was assigned to this individual provider in the NPPES registry on August 18, 2008.

Where is Teresa Brennan located?

Teresa Brennan practices at 100 Hospital Dr, Ketchum, ID 83340. The listed phone number is (208) 727-8800.

What is Teresa Brennan's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Teresa Brennan enrolled in Medicare?

Yes. Teresa Brennan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Teresa Brennan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Teresa Brennan reassigns Medicare benefits to St Lukes Clinic - Wood River LLC (Ketchum, ID). 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 Teresa Brennan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Teresa Brennan accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Select Health list Teresa Brennan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Teresa Brennan was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.