Active NPI
Shannon Murray Brennan, AGPCNP-BC
- Nurse Practitioner
- Richmond, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 0024184976
- Practice address
- 1200 E Broad St
Richmond, VA 23298-5025 - Phone
- (804) 828-8199
- NPI assigned
- Nov 2, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 0024184976 | VA | Primary |
Addresses
Primary practice location
1200 E Broad St
Richmond, VA 23298-5025
Mailing address
3217 Patterson Ave
Richmond, VA 23221-2316
Phone (864) 561-4448
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9000 Stony Point Pkwy
Richmond, VA 23235-1900
Phone (804) 628-2374
Hospital & facility affiliations
- Medical College of Virginia Hospitals
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.95 of 100
- Quality
- 69.91
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 77.42
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024184976 | VA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCV Associated Physicians | Current | Accepting new patients | |
| Virginia Cardiovascular Specialists | Past | Accepting new patients | |
| Virginia Cardiovascular Specialists | Past | Accepting new patients |
Locations
9000 Stony Point Pkwy
Richmond, VA 23235
Phone (804) 560-8906
417 N 11th St
Richmond, VA 23298
Phone (804) 828-0733
401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409
1200 E Broad St
Richmond, VA 23298
Phone (804) 828-0970
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Richmond, VA
- NPI 1710959457
-
- Ambulatory Surgical Clinic/Center
- Henrico, VA
- NPI 1124777321
-
- Cardiovascular Disease Physician
- Richmond, VA
- NPI 1215958657
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Richmond, VA
- NPI 1013091727
-
- General Acute Care Hospital
- Richmond, VA
- NPI 1437175734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668643200000",
"number": "1003523747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3217 PATTERSON AVE",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232212316",
"telephone_number": "864-561-4448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 E BROAD ST",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232985025",
"telephone_number": "804-828-8199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRENNAN",
"first_name": "SHANNON",
"middle_name": "MURRAY",
"credential": "AGPCNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-02",
"last_updated": "2022-11-17",
"certification_date": "2022-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "VA",
"license": "0024184976",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.