Individual provider Active NPI

Jennifer Minnick Brennan, APRN, BC, LLC

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Shrewsbury, NJ
National Provider Identifier
1093928053
Registry record updated Apr 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
26NC10476600 Issued in NJ
Practice address
621 Shrewsbury Ave
Shrewsbury, NJ 07702-4153
Phone
(732) 741-5544
NPI assigned
May 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X 26NC10476600 NJ Primary

Addresses

Primary practice location

621 Shrewsbury Ave
Shrewsbury, NJ 07702-4153

Mailing address

211 Beechwood Dr
Shrewsbury, NJ 07702-4467
Phone (732) 936-1716

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20050809000007 NJ Practitioner - Certified Clinical Nurse Specialist (CNS) 4789613902 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

252 Broad St
Suite 2
Red Bank, NJ 07701-2012
Phone (732) 741-5544

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NC10476600NJMDAdult Psychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer Minnick Brennan, Aprn, BC LLC CurrentSince Oct 1, 2009 Accepting new patients

Locations

252 Broad St
Ste 2
Red Bank, NJ 07701
Phone (732) 741-5544

621 Shrewsbury Ave
Shrewsbury, NJ 07702
Phone (732) 530-0405

Interoperability endpoints

  • Direct secure messaging: hackensackmeridian.jenniferminnickbrennan@136290.advancedmd-direct.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430265600000",
    "number": "1093928053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 BEECHWOOD DR",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024467",
            "telephone_number": "732-936-1716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 SHREWSBURY AVE",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024153",
            "telephone_number": "732-741-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINNICK BRENNAN",
        "first_name": "JENNIFER",
        "name_prefix": "Ms.",
        "credential": "APRN, BC, LLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2015-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "NJ",
            "license": "26NC10476600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shrewsbury, NJ

Sources for this page

Verify at the official NPI Registry.