Jennifer L Brenner, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Vestal, NY
NPI 1417047671 · NPPES record last updated Dec 23, 2025
Key facts
- NPI
- 1417047671
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 335028 (NY)
- Practice address
- 200 Front St
Ste C
Vestal, NY 13850-1559 - Phone
- (607) 239-5694
- Fax
- (607) 239-5720
- NPI assigned
- Oct 16, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Neuro Medical Care Associates, PLLC
Practice addresses (Care Compare)
200 Front St
Suite C
Vestal, NY 13850-1559
Phone (607) 239-5694
Hospital & facility affiliations
- Our Lady of Lourdes Memorial Hospital, Inc
- United Health Services Hospitals, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.98 of 100
- Quality
- 95
- Improvement activities
- 40
- Cost
- 82.56
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080227000662 | NY | Practitioner - Nurse Practitioner | 2668556713 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Womens Health Care by Dhruv Agneshwar MD PC | Current |
Accepting new patients | |
| Neuro Medical Care Associates PLLC | Current |
Accepting new patients | |
| United Health Services Hospitals, Inc. | Current |
Accepting new patients |
Locations
65 Pennsylvania Ave
Binghamton, NY 13903
Phone (607) 723-5393
10-42 Mitchell Ave
Binghamton, NY 13903
Phone (607) 762-2468
355 Main St
Johnson City, NY 13790
Phone (607) 798-1602
33-57 Harrison St
Johnson City, NY 13790
Phone (607) 763-6412
200 Front St
Ste C
Vestal, NY 13850
Phone (607) 239-5694
Interoperability endpoints
- jbrenner@neuromedical.medentdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 335028 | NY | Yes |
Addresses
Primary practice location
200 Front St
Ste C
Vestal, NY 13850-1559
Mailing address
200 Front St
Ste C
Vestal, NY 13850-1559
Phone (607) 239-5694
Other practice location 1
33-57 Harrison St
Johnson City, NY 13790-2174
Phone (607) 763-6622
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02948823 | Medicaid | NY |
Other providers in Vestal, NY
- Dayle Bower
- Karyssa Bowron
- Marilyn S Boyuka
- Deanna Braun
- Amanda Brechko
- Sherry Lynn Brill
- Jennifer A Brodbeck
- Peter T Bronsky
- Virginia Anne Bronson
- Deborah J. Brooker
All providers in Vestal, NY · Family Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.