AMY BRENNER NP
NPI 1740900786
Nurse Practitioner - Family in Santa Rosa, CA
About Amy Brenner Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMY BRENNER NP (NPI 1740900786) is an individual family provider in Santa Rosa, California, licensed in California (95022429) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Amy Brenner Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Amy Brenner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Mateo, CA 94403
- Reassigned Medicare billing, California enrollment
- 430 clinicians in this Medicare group
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 95401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Amy Brenner's NPI number?
The NPI number for Amy Brenner is 1740900786. It was assigned to this individual provider in the NPPES registry on August 30, 2022.
Where is Amy Brenner located?
Amy Brenner practices at 1300 N Dutton Ave, Santa Rosa, CA 95401. The listed phone number is (707) 396-5151.
What is Amy Brenner's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Amy Brenner enrolled in Medicare?
Yes. Amy Brenner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Amy Brenner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amy Brenner reassigns Medicare benefits to County Of San Mateo (San Mateo, CA). 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 Amy Brenner'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 Amy Brenner was last updated on August 30, 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.
# Amy Brenner, NP · NPI 1740900786
Family physician in Santa Rosa, California. Individual provider, active in the CMS NPPES registry since August 30, 2022.
## Identity
- **NPI:** 1740900786 (Entity type: Individual)
- **Enumerated:** August 30, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95022429 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1300 N DUTTON AVE, Santa Rosa, CA 95401-7112
- **Phone:** (707) 396-5151
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** County Of San Mateo (NPI 1831268580, San Mateo, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** August 30, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1740900786) · Data from the CMS NPPES public registry.