Elizabeth Ann Brennan, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

12163 Issued in MN

Practice address

9655 Schmidt Lake Rd Ste 150
Plymouth, MN 55442-4507

Phone

(763) 559-1640

Fax

(763) 559-1617

NPI assigned

Nov 7, 2024

Last updated

Mar 24, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Plymouth Psych Group LLCGroup PAC ID 6800103490, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Plymouth Psych Group, LLC

  • Mental Health Counselor
  • Plymouth, MN
  • NPI 1003195942
  Medicare reassignment Care Compare group NPD
• Pediatric Consultation Specialists, PLLC

  dba Psychology Consultation Specialists, PLLC

  • Clinical Psychologist
  • Plymouth, MN
  • NPI 1659539591
  NPD (past)

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

{
    "created_epoch": "1730937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1053134908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 FERNBROOK LN N STE 120",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554475339",
            "telephone_number": "763-559-7050",
            "fax_number": "763-559-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9655 SCHMIDT LAKE RD STE 150",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554424507",
            "telephone_number": "763-559-1640",
            "fax_number": "763-559-1617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNAN",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-07",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "12163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Brandsrud, CNP
• Jennifer A Bratvold, RPH
• Mitchell Alan Brecke, D.C.
• Melissa Lynn Bredemus, APRN, CNP
• Marshall O Breneman, PA
• Brent Cataldo DDS PA
• Courtney Caryl Breyer, MA, LADC, LPCC
• Jessica Bridgeford
• Brimhall Plymouth (Williams & Wimmer DDS)
• Vincent Alexander Brinker

• Psychiatric/Mental Health Nurse Practitioner in Plymouth, MN
• Providers in Plymouth, MN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; 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.

Verify at the official NPI Registry.