SHELLY ELISE BRENTZEL NP
NPI 1982476305
Nurse Practitioner - Psychiatric/Mental Health in Los Angeles, CA

Active since October 30, 2023PECOS EnrolledAccepts Medicare Assignment
12301 WILSHIRE BLVD STE 512, LOS ANGELES, CA 90025(888) 684-2779 Get Directions Write a Review

NPPES record last updated: October 30, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shelly Elise Brentzel Np NPPES

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

SHELLY ELISE BRENTZEL NP (NPI 1982476305) is an individual psychiatric/mental health provider in Los Angeles, California, licensed in California (95026831) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1982476305
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSHELLY ELISE BRENTZELCredential: NP
Location Address12301 WILSHIRE BLVD STE 512Los Angeles, CA 90025-1053
Mailing Address7129 Salerno StSan Diego, CA 92111-3413 · (410) 353-1447
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 30, 2023
NPPES CertifiedOctober 28, 2023
NPI 1982476305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in CA · 95026831
Also ListedRegistered NurseTaxonomy 163W00000X · License 95132333 (CA)
12301 WILSHIRE BLVD STE 512, Los Angeles, CA 90025

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

Shelly Elise Brentzel 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 ID4688184088
PECOS Enrollment IDI20250605002713
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 90025 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

Nurse Practitioner (Psychiatric/Mental Health)
12301 WILSHIRE BLVD STE 512
LOS ANGELES, CA 90025
Nurse Practitioner (Psychiatric/Mental Health)
12301 WILSHIRE BLVD STE 512
LOS ANGELES, CA 90025
Counselor (Professional)
12301 WILSHIRE BLVD STE 512
LOS ANGELES, CA 90025
Psychiatry & Neurology (Psychiatry)
12301 WILSHIRE BLVD STE 512
LOS ANGELES, CA 90025
Nurse Practitioner (Psychiatric/Mental Health)
12301 WILSHIRE BLVD STE 512
LOS ANGELES, CA 90025
Psychiatry & Neurology (Psychiatry)
12301 WILSHIRE BLVD STE 512
LOS ANGELES, CA 90025
Nurse Practitioner (Psychiatric/Mental Health)
12301 WILSHIRE BLVD STE 512
LOS ANGELES, CA 90025
Nurse Practitioner (Psychiatric/Mental Health)
12301 WILSHIRE BLVD STE 512
LOS ANGELES, CA 90025

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 Shelly Brentzel's NPI number?

The NPI number for Shelly Brentzel is 1982476305. It was assigned to this individual provider in the NPPES registry on October 30, 2023.

Where is Shelly Brentzel located?

Shelly Brentzel practices at 12301 Wilshire Blvd Ste 512, Los Angeles, CA 90025. The listed phone number is (888) 684-2779.

What is Shelly Brentzel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Shelly Brentzel enrolled in Medicare?

Yes. Shelly Brentzel 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.

When was this NPI record last updated?

The NPPES record for Shelly Brentzel was last updated on October 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.