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TIERNEY BRENNAN
NPI 1831553023
Nurse Practitioner - Pediatrics in Villanova, PA

Active since April 13, 2016PECOS Enrolled
464 INVERARAY RD, VILLANOVA, PA 19085(630) 640-1167 Get Directions Write a Review

NPPES record last updated: April 13, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Tierney Brennan NPPES

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

TIERNEY BRENNAN (NPI 1831553023) is an individual pediatrics provider in Villanova, Pennsylvania, licensed in Pennsylvania (SP016028) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1831553023
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameTIERNEY BRENNAN
Location Address464 INVERARAY RDVillanova, PA 19085-1138
Mailing Address464 Inveraray RdVillanova, PA 19085-1138 · (630) 640-1167
Phone(630) 640-1167
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateApril 13, 2016
✔ NPI 1831553023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
Licenses✔ Licensed in PA · SP016028✔ Licensed in IL · 209014087
464 INVERARAY RD, Villanova, PA 19085
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tierney Brennan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID547724056
PECOS Enrollment IDI20260715001188
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.

Medicare Billing Reassignment

Medicare enrollment records show Tierney Brennan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lurie Children's Medical Group Inc
652 mi
Pediatrics
225 E CHICAGO AVE
Chicago, IL 60611
  • Reassigned Medicare billing, Illinois enrollment
  • 826 clinicians in this Medicare group
NPI 1518064716 (312) 227-6412

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 19085 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

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 Tierney Brennan's NPI number?

The NPI number for Tierney Brennan is 1831553023. It was assigned to this individual provider in the NPPES registry on April 13, 2016.

Where is Tierney Brennan located?

Tierney Brennan practices at 464 Inveraray Rd, Villanova, PA 19085. The listed phone number is (630) 640-1167.

What is Tierney Brennan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Tierney Brennan enrolled in Medicare?

Yes. Tierney Brennan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tierney Brennan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tierney Brennan reassigns Medicare benefits to Lurie Children's Medical Group Inc (Chicago, IL). 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 Tierney Brennan'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 Tierney Brennan was last updated on April 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.