Individual provider Active NPI

Lisa Brenner, CRNP

  • Family Nurse Practitioner
  • Phoenixville, PA
National Provider Identifier
1396151163
Registry record updated Jan 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP013753 Issued in PA
Practice address
1220 Valley Forge Rd Ste 35
Phoenixville, PA 19460-2676
Phone
(610) 933-1688
Fax
(610) 983-0698
NPI assigned
Jul 1, 2014
Last updated
Jan 8, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2019

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 SP013753 PA Primary

Addresses

Primary practice location

1220 Valley Forge Rd Ste 35
Phoenixville, PA 19460-2676

Mailing address

904 N Providence Rd
Media, PA 19063-2135
Phone (610) 896-4466

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20181126001561 PA Practitioner - Nurse Practitioner 9234429499 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Kimberton Clinic,IncGroup PAC ID 6507027117, 5 clinicians
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

1033 W Germantown Pike Valley Forge M
Norristown, PA 19403-3905
Phone (732) 886-6202

1375 Hares Hill Rd
Kimberton, PA 19442-0447
Phone (610) 933-0708

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP013753PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Avenues Recovery Medical Center at Valley Forge CurrentSince Dec 23, 2024 Accepting new patients
Avenues Recovery Medical Center at Valley Forge CurrentSince Dec 23, 2024 Accepting new patients
The Kimberton Clinic,Inc CurrentSince Mar 5, 2020 Accepting new patients
Steiner Medical and Therapeutic Center PastSince Jan 22, 2023 Accepting new patients

Locations

850 Towbin Ave
Lakewood, NJ 08701
Phone (732) 886-6202

1033 W Germantown Pike
Norristown, PA 19403
Phone (610) 539-8500

Interoperability endpoints

  • Direct secure messaging: lbrenner@smtc.curemd.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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": "1404172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546905600000",
    "number": "1396151163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 N PROVIDENCE RD",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190632135",
            "telephone_number": "610-896-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 VALLEY FORGE RD STE 35",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194602676",
            "telephone_number": "610-933-1688",
            "fax_number": "610-983-0698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNER",
        "first_name": "LISA",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-01",
        "last_updated": "2019-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP013753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenixville, PA

Sources for this page

Verify at the official NPI Registry.