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RENEE BRACK
NPI 1790293215
Nurse Practitioner - Family in Arlington, VA

Active since January 18, 2018PECOS EnrolledAccepts Medicare Assignment
1101 WILSON BLVD STE 900, ARLINGTON, VA 22209(551) 224-4546 Get Directions Write a Review

NPPES record last updated: September 12, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Sep 12, 2025, Feb 15, 2018, Jan 18, 2018 (3 updates tracked since 2018).

About Renee Brack NPPES

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

RENEE BRACK (NPI 1790293215) is an individual family provider in Arlington, Virginia, licensed in Virginia (0024191377) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS, is affiliated with Reston Hospital Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1790293215
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameRENEE BRACK
Location Address1101 WILSON BLVD STE 900Arlington, VA 22209-2248
Mailing Address2 University Plz Ste 204Hackensack, NJ 07601-6211 · (551) 295-8223
Phone(551) 224-4546
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 2017
Enumeration DateJanuary 18, 2018
Last NPPES UpdateSeptember 12, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2025
✔ NPI 1790293215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in VA · 0024191377✔ Licensed in NC · 5010222
Also ListedRegistered NurseTaxonomy 163W00000X · License 261868 (NC)

Secondary Practice Locations 3

Location 150 Glenlake Pkwy Ste 420Sandy Springs, GA 30328-3489 · Phone (551) 295-8223
Location 239 V St NEWashington, DC 20002-1329 · Phone (551) 295-8223
Location 320130 Lakeview Center Plz Ste 400Ashburn, VA 20147-5905 · Phone (551) 295-8223

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

Renee Brack 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 ID5193087252
PECOS Enrollment IDI20210610001245, I20250131001347, I20250409002546
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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
34 services33 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
30 services20 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
26 services23 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Reston Hospital Center

Acute Care Hospitals · Reston, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490107
Location1850 Town Center ParkwayReston, VA 20190 · Fairfax County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22209 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers19 claims19 services$37.34 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Renee Brack's NPI number?

The NPI number for Renee Brack is 1790293215. It was assigned to this individual provider in the NPPES registry on January 18, 2018.

Where is Renee Brack located?

Renee Brack practices at 1101 Wilson Blvd Ste 900, Arlington, VA 22209. The listed phone number is (551) 224-4546.

What is Renee Brack's specialty?

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

Is Renee Brack enrolled in Medicare?

Yes. Renee Brack 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.

Is Renee Brack affiliated with any hospitals?

According to CMS data, Renee Brack is affiliated with Reston Hospital Center.

When was this NPI record last updated?

The NPPES record for Renee Brack was last updated on September 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.