Individual provider Active NPI

Brian Lorenzen, FNP

  • Family Nurse Practitioner
  • Cortlandt Manor, NY
National Provider Identifier
1154932036
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
345684 Issued in NY
Practice address
1978 Crompond Rd
Cortlandt Manor, NY 10567-4111
Phone
(763) 797-2146
Fax
(914) 739-2185
NPI assigned
Aug 13, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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 345684 NY Primary

Addresses

Primary practice location

1978 Crompond Rd
Cortlandt Manor, NY 10567-4111

Mailing address

25 Barker St Apt 513
Mount Kisco, NY 10549-1635
Phone (914) 275-6772

Other practice location 1

25 Barker St Apt 513
Mount Kisco, NY 10549-1635
Phone (914) 275-6772

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20201117002464 NY Practitioner - Nurse Practitioner 8921419235 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optum Medical Care PCGroup PAC ID 9931013240, 1,013 clinicians

Practice addresses (Care Compare)

1978 Crompond Rd
Cortlandt Manor, NY 10567-4111
Phone (914) 241-1050

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
345684NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Care, P.C. CurrentSince Dec 7, 2020 Accepting new patients
Optum Medical Care, P.C. CurrentSince Dec 7, 2020 Accepting new patients
Mount Kisco Medical Group Past Accepting new patients

Locations

1978 Crompond Rd
Cortlandt Mnr, NY 10567
Phone (914) 293-8450

60 Merritt Blvd
Fishkill, NY 12524
Phone (845) 440-1280

3680 Hill Blvd
Jefferson Valley, NY 10535
Phone (914) 245-7700

110 S Bedford Rd
Mount Kisco, NY 10549
Phone (763) 910-9192

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

Philadelphia, PA 19195

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Organizations & group practices 3

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 & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1154932036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 BARKER ST APT 513",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105491635",
            "telephone_number": "914-275-6772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1978 CROMPOND RD",
            "city": "CORTLANDT MANOR",
            "state": "NY",
            "postal_code": "105674111",
            "telephone_number": "763-797-2146",
            "fax_number": "914-739-2185"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Barker St Apt 513",
            "address_purpose": "LOCATION",
            "city": "Mount Kisco",
            "state": "NY",
            "postal_code": "105491635",
            "country_code": "US",
            "telephone_number": "914-275-6772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LORENZEN",
        "first_name": "BRIAN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-13",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "345684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cortlandt Manor, NY

Sources for this page

Verify at the official NPI Registry.