Individual provider Active NPI

Shelby Anne Brenkert, FNP-C

  • Family Nurse Practitioner
  • Cortland, OH
National Provider Identifier
1043844608
Registry record updated Feb 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
026160 Issued in OH
Practice address
6631 State Route 46
Cortland, OH 44410-8606
Phone
(330) 240-5008
NPI assigned
Feb 23, 2020
Last updated
Feb 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 026160 OH Primary

Addresses

Primary practice location

6631 State Route 46
Cortland, OH 44410-8606

Mailing address

6631 State Route 46
Cortland, OH 44410-8606
Phone (330) 240-5008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200909001881 OH Practitioner - Nurse Practitioner 1052739968 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
026160OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa PC CurrentSince Jan 15, 2023 Accepting new patients
Vpa PC CurrentSince Jan 15, 2023 Accepting new patients
Ohio North East Health Systems Inc CurrentSince Oct 12, 2020 Accepting new patients
Ohio North East Health Systems, Inc. CurrentSince Oct 12, 2020 Accepting new patients
Vpa PC Current Accepting new patients

Locations

1977 Niles Rd SE
Warren, OH 44484
Phone (330) 393-6446

7206 Market St
Ste A
Youngstown, OH 44512
Phone (330) 726-3379

726 Wick Ave
Youngstown, OH 44505
Phone (330) 747-2330

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1582416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582416000000",
    "number": "1043844608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6631 STATE ROUTE 46",
            "city": "CORTLAND",
            "state": "OH",
            "postal_code": "444108606",
            "telephone_number": "330-240-5008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6631 STATE ROUTE 46",
            "city": "CORTLAND",
            "state": "OH",
            "postal_code": "444108606",
            "telephone_number": "330-240-5008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENKERT",
        "first_name": "SHELBY",
        "middle_name": "ANNE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-23",
        "last_updated": "2020-02-23",
        "certification_date": "2020-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "026160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cortland, OH

Sources for this page

Verify at the official NPI Registry.