Individual provider Active NPI

Brenna Reichman, MSN, RN, AGNP-C

  • Adult Health Nurse Practitioner
  • Ypsilanti, MI
National Provider Identifier
1134418452
Registry record updated Feb 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
4704307369 Issued in MI
Practice address
3201 Bemis Rd
Ypsilanti, MI 48197-9307
Phone
(734) 434-2737
NPI assigned
Apr 7, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 4704307369 MI Primary
Registered Nurse 163W00000X 4704307369 MI

Addresses

Primary practice location

3201 Bemis Rd
Ypsilanti, MI 48197-9307

Mailing address

2800 S State St
Ste 215
Ann Arbor, MI 48104-7103
Phone (734) 547-3990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20250225000998 MI Practitioner - Nurse Practitioner 1355861097

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Brenna Reichman LLC CurrentSince Feb 5, 2025 Accepting new patients

Locations

2800 S State St
Ste 215
Ann Arbor, MI 48104
Phone (734) 547-3990

Organizations & group practices 1

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": "1302134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1134418452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 S STATE ST",
            "address_2": "STE 215",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481047103",
            "telephone_number": "734-547-3990",
            "fax_number": "734-547-3980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 BEMIS RD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481979307",
            "telephone_number": "734-434-2737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REICHMAN",
        "first_name": "BRENNA",
        "name_prefix": "Ms.",
        "credential": "MSN, RN, AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-07",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704307369",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704307369",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

Verify at the official NPI Registry.