Individual provider Active NPI

Brenda Ann Koenig-Renz, MSN, FNP

  • Family Nurse Practitioner
  • Denver, CO
National Provider Identifier
1366593394
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0002859-NP Issued in CO
Practice address
2777 Mile High Stadium Cir
Denver, CO 80211-5222
Phone
(303) 825-8822
Fax
(303) 825-4022
NPI assigned
Jan 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 122942 CO
Family Nurse Practitioner 363LF0000X APN.0002859-NP CO Primary

Addresses

Primary practice location

2777 Mile High Stadium Cir
Denver, CO 80211-5222

Mailing address

7665 S Eaton Park CT
Aurora, CO 80016-4293
Phone (303) 825-8822

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20170907002501 CO Practitioner - Nurse Practitioner 5092937375

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
122942COMDFamily Nurse Practitioner
APN.0002859-NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Artemis Healthcare Services LLC CurrentSince Dec 8, 2018 Accepting new patients
Agape Palliative Services, LLC PastSince Dec 8, 2018 Accepting new patients
Destiny Post Acute Care Services P.C Past Accepting new patients

Locations

6041 S Syracuse Way
Ste 220
Greenwood Village, CO 80111
Phone (720) 482-1988

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.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1366593394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7665 S EATON PARK CT",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800164293",
            "telephone_number": "303-825-8822",
            "fax_number": "303-825-4022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2777 MILE HIGH STADIUM CIR",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802115222",
            "telephone_number": "303-825-8822",
            "fax_number": "303-825-4022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOENIG-RENZ",
        "first_name": "BRENDA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MSN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "122942",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0002859-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.