Michelle Theresa Brenner, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

F3336961 Issued in NY

Practice address

40 La Riviere Dr Ste 201
Buffalo, NY 14202-4344

Phone

(716) 893-1010

Fax

(716) 893-1002

NPI assigned

Jun 7, 2006

Last updated

May 9, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mobile Nurse Practitioners

  dba Homelink Medical Services

  • Gerontology Nurse Practitioner
  • Williamsville, NY
  • NPI 1740219633
  NPD (past)
• Mobile Nurse Practitioners

  dba Homelink Medical Services

  • Family Nurse Practitioner
  • Williamsville, NY
  • NPI 1851317903
  NPD (past)

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1316987316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 HARLEM RD",
            "address_2": "SUITE 3",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142061964",
            "telephone_number": "716-893-1010",
            "fax_number": "716-893-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 LA RIVIERE DR STE 201",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142024344",
            "telephone_number": "716-893-1010",
            "fax_number": "716-893-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNER",
        "first_name": "MICHELLE",
        "middle_name": "THERESA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F3336961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHA",
            "identifier": "9512100",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tomi A Breier, LCSW-R
• Eric John Breitwieser, RPA-C
• Libby Ann Brennan, NURSE
• Sally Anne Brennan
• Terri M Brennan, LCSW
• Thomas Edward Brent, LCSW
• Judith M Breny, LCSW
• Ryan Kenneth Breuer
• Jeffrey James Brewer, M.D.
• John E Brewer, MD

• Nurse Practitioner in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.