Beth Anne Brenner, APN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

26NJ00393900 Issued in NJ

Practice address

385 Morris Ave
Suite 100
Springfield, NJ 07081-1151

Phone

(973) 379-2111

Fax

(973) 379-2807

NPI assigned

Sep 2, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Beth Anne Thompson Former name

Medicare fee-for-service enrollment

Enrolled in VT

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, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Porter Hospital IncGroup PAC ID 1850365180, shared by 5 NPIs, 116 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Porter Hospital Inc Hospital, Middlebury, VT, CCN 471307

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: beth.brenner@direct.hackensackmeridian.org
• Direct secure messaging: bbrenner574632@direct.uvmhealth.org
• FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

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.

• Porter Hospital Inc

  • Critical Access Hospital
  • Middlebury, VT
  • NPI 1740291400
  Medicare reassignment NPD
• Porter Hospital, Inc

  • Family Medicine Physician
  • Middlebury, VT
  • NPI 1134457013
  Medicare reassignment NPD
• Hackensack Meridian Health Medical Group - Specialty Care PC

  • Durable Medical Equipment & Medical Supplies
  • North Bergen, NJ
  • NPI 1215734199
  NPD
• Hackensack Meridian Health Medical Group - Specialty Care PC

  • Surgical Critical Care Physician
  • Red Bank, NJ
  • NPI 1215989249
  NPD
• Rwjbh Primary Care Services

  • Internal Medicine Physician
  • West Orange, NJ
  • NPI 1265037501

  Nurse Practitioner

  NPD
• Porter Hospital Inc

  • Obstetrics & Gynecology Physician
  • Middlebury, VT
  • NPI 1053331389
  NPD (past)

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

• Porter Hospital

  • Podiatrist
  • Middlebury, VT
  • NPI 1881086353

  Hospital

  Care Compare affiliation
• Porter Hospital Dba Addison Family Health

  • Family Medicine Physician
  • Middlebury, VT
  • NPI 1558381889

  Hospital

  Care Compare affiliation
• Porter Hospital Dba Cedar Ledge Family Practice

  • Family Medicine Physician
  • Middlebury, VT
  • NPI 1144240474

  Hospital

  Care Compare affiliation
• Porter Hospital Inc

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Middlebury, VT
  • NPI 1033340641

  Hospital

  Care Compare affiliation
• Porter Hospital Inc

  • Obstetrics & Gynecology Physician
  • Middlebury, VT
  • NPI 1053331389

  Hospital

  Care Compare affiliation
• Porter Hospital Inc

  • Internal Medicine Physician
  • Bristol, VT
  • NPI 1093997249

  Hospital

  Care Compare affiliation
• Porter Hospital Inc

  • Otolaryngology Physician
  • Middlebury, VT
  • NPI 1124048459

  Hospital

  Care Compare affiliation
• Porter Hospital Inc

  • Family Medicine Physician
  • Vergennes, VT
  • NPI 1235159567

  Hospital

  Care Compare affiliation
• Porter Hospital Inc

  • Pediatric Adolescent Medicine Physician
  • Middlebury, VT
  • NPI 1538189865

  Hospital

  Care Compare affiliation
• Porter Hospital Inc

  • Obstetrics & Gynecology Physician
  • Middlebury, VT
  • NPI 1548302862

  Hospital

  Care Compare affiliation
• Porter Hospital Inc

  • Advanced Practice Midwife
  • Vergennes, VT
  • NPI 1548380819

  Hospital

  Care Compare affiliation
• Porter Hospital Inc

  • Family Medicine Physician
  • Brandon, VT
  • NPI 1609896935

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1346544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1235488594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 MORRIS AVE",
            "address_2": "SUITE 100",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070811151",
            "telephone_number": "973-379-2111",
            "fax_number": "973-379-2807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 MORRIS AVE",
            "address_2": "SUITE 100",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070811151",
            "telephone_number": "973-379-2111",
            "fax_number": "973-379-2807"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Porter Dr",
            "address_purpose": "LOCATION",
            "city": "Middlebury",
            "state": "VT",
            "postal_code": "057538422",
            "country_code": "US",
            "telephone_number": "802-388-4001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRENNER",
        "first_name": "BETH",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-02",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VT",
            "license": "101-0136659",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00393900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "THOMPSON",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Boomerang Transportation Inc.
• Thomas David Boyle, PH.D.
• Brainchild Neurology LLC
• Sheronda Sheris Braker, LSW
• Claudia Sofia Branco, MA
• Brighter Dental Care (Springfield)
• Alex Brito, DPT
• Steven Paul Brownstein, M.D.
• Frank R Bucciero, OD
• Michelle Anne Burstein, DMD

• Adult Health Nurse Practitioner in Springfield, NJ
• Providers in Springfield, NJ by specialty
• Adult Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; 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.