MRS. KELLY ELIZABETH BRENDLE AGACNP
NPI 1831489103
Registered Nurse - Critical Care Medicine in Sacramento, CA
About Mrs. Kelly Elizabeth Brendle Agacnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KELLY ELIZABETH BRENDLE AGACNP (NPI 1831489103) is an individual critical care medicine provider in Sacramento, California, licensed in California (3259) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS and is a graduate of University Of Nevada School Of Medicine (2021).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Kelly Elizabeth Brendle Agacnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kelly Brendle reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Sacramento, CA 95815
- Reassigned Medicare billing, California enrollment
- 9 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.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SACRAMENTO, CA 95815
SACRAMENTO, CA 95815
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 Kelly Brendle's NPI number?
The NPI number for Kelly Brendle is 1831489103. It was assigned to this individual provider in the NPPES registry on April 7, 2011.
Where is Kelly Brendle located?
Kelly Brendle practices at 1451 River Park Dr, Sacramento, CA 95815. The listed phone number is (916) 209-4600.
What is Kelly Brendle's specialty?
The primary specialty registered for this NPI is Registered Nurse, specializing in Critical Care Medicine, with taxonomy code 163WC0200X.
Is Kelly Brendle enrolled in Medicare?
Yes. Kelly Brendle is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kelly Brendle's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Brendle reassigns Medicare benefits to American River Nursing Services, Apc (Sacramento, 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 Kelly Brendle'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 Kelly Brendle was last updated on February 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Mrs. Kelly Elizabeth Brendle, AGACNP · NPI 1831489103
Critical Care Medicine provider in Sacramento, California. Individual provider, active in the CMS NPPES registry since April 7, 2011.
## Identity
- **NPI:** 1831489103 (Entity type: Individual)
- **Enumerated:** April 7, 2011
- **Primary specialty:** Registered Nurse - Critical Care Medicine · taxonomy 163WC0200X
- **State license:** 3259 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1451 RIVER PARK DR, Sacramento, CA 95815-4507
- **Phone:** (916) 209-4600
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** American River Nursing Services, Apc (NPI 1891480695, Sacramento, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Nevada School Of Medicine, class of 2021
## Record status
- **NPPES last updated:** February 14, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1831489103) · Data from the CMS NPPES public registry.