MRS. KELLY ELIZABETH BRENDLE AGACNP
NPI 1831489103
Registered Nurse - Critical Care Medicine in Sacramento, CA

Active since April 07, 2011PECOS Enrolled
1451 RIVER PARK DR, SACRAMENTO, CA 95815(916) 209-4600 Get Directions Write a Review

NPPES record last updated: February 14, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1831489103
Entity TypeIndividualFemale
Primary Taxonomy163WC0200X
Provider Legal NameMRS. KELLY ELIZABETH BRENDLECredential: AGACNP
Location Address1451 RIVER PARK DRSacramento, CA 95815-4507
Mailing Address12701 Bridlerack CtWilton, CA 95693-9203 · (916) 230-3098
Sole ProprietorNo
Medical School CMSUniversity Of Nevada School Of MedicineGraduated 2021
Enumeration DateApril 7, 2011
Last NPPES UpdateFebruary 14, 2026
NPPES CertifiedFebruary 14, 2026
NPI 1831489103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRegistered Nurse · Critical Care MedicineNursing Service Providers
Taxonomy Code163WC0200X
Licenses Licensed in CA · 3259 Licensed in CA · 506790
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 95020422 (CA)
1451 RIVER PARK DR, Sacramento, CA 95815

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Kelly Elizabeth Brendle Agacnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2163993841
PECOS Enrollment IDI20260603002298
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.

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.

Preventive Medicine (Public Health & General Preventive Medicine)
1451 RIVER PARK DR, SUITE 222
SACRAMENTO, CA 95815
Public Health or Welfare
1451 RIVER PARK DR, SUITE 222
SACRAMENTO, CA 95815
Home Health
1451 RIVER PARK DR, SUITE 244
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.

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 5 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.