Nicole Rachelle Brenner, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME140460 Issued in FL

Practice address

806 West Oak Street
Kissimmee, FL 34741

Phone

(407) 483-3376

Fax

(407) 201-7304

NPI assigned

Apr 10, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Osceola Surgical Associates LLCGroup PAC ID 0840366126, 36 clinicians

Hospital Medicine Services of FL, LLCGroup PAC ID 9234596743, 513 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida Osceola Hospital Hospital, Kissimmee, FL, CCN 100110

Merit-based Incentive Payment System (MIPS)

Final score

87.32 of 100Reported as group

Quality

75.8

Promoting interoperability

99

Improvement activities

40

Cost

63.92

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nicole.brenner@hca4.eclinicaldirectplus.com

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.

• Hospital Medicine Services of FL, LLC

  • Hospitalist Physician
  • Aventura, FL
  • NPI 1710684857
  Medicare reassignment Care Compare group NPD
• Osceola Surgical Associates LLC

  • Surgery Physician
  • Kissimmee, FL
  • NPI 1578723540

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Osceola Surgical Associates LLC

  • Surgery Physician
  • Kissimmee, FL
  • NPI 1700043585
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Osceola Regional Hospital, Inc.

  dba HCA Florida Osceola Hospital

  • General Acute Care Hospital
  • Kissimmee, FL
  • NPI 1689621450
  Care Compare affiliation

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

{
    "created_epoch": "1428624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561507200000",
    "number": "1104212695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 WEST OAK STREET",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "34741",
            "telephone_number": "407-483-3376",
            "fax_number": "407-201-7304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 WEST OAK STREET",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "34741",
            "telephone_number": "407-483-3376",
            "fax_number": "407-201-7304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNER",
        "first_name": "NICOLE",
        "middle_name": "RACHELLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-10",
        "last_updated": "2019-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME140460",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME140460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Elizabeth Breland
• Norma Brenes -Urena
• Maria Fernanda Brenes
• Brenilda Mendoza
• Monica Brennan-Pavlicek
• Raymond Edward Brennick III, DPT
• Criseyde Brew Chernavski, MSPT
• Constance Maya Brezden
• Ana M Briceno, APRN
• Maria Eugenia Briceno I, RBTS

• Internal Medicine Physician in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; 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.