AMY BRENNER NP
NPI 1740900786
Nurse Practitioner - Family in Santa Rosa, CA

Q: 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.

Q: What is Amy Brenner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: 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 3 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 August 30, 2022PECOS EnrolledAccepts Medicare Assignment

1300 N DUTTON AVE, SANTA ROSA, CA 95401(707) 396-5151 Get Directions Write a Review

NPPES record last updated: August 30, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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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

NPI1740900786

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameAMY BRENNERCredential: NP

Location Address1300 N DUTTON AVESanta Rosa, CA 95401-7112

Mailing Address2200 Hamilton AveSan Bruno, CA 94066-2812

Phone(707) 396-5151

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateAugust 30, 2022

NPPES CertifiedAugust 30, 2022

✔ NPI 1740900786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95022429

1300 N DUTTON AVE, Santa Rosa, CA 95401

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Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID3971940305

PECOS Enrollment IDI20240321001487

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.

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.

New Patient

$96.16 typical visit price

range $63.04 – $187.01

Typical copayment $24.04 (range $15.76 – $46.75)

Most-billed visit code 99203

Established Patient

$109.88 typical visit price

range $21.02 – $153.40

Typical copayment $27.47 (range $5.25 – $38.35)

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 20

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

MRS. ERIN O. LIIV LCSW

Social Worker (Clinical)