Active NPI
Brenna Leanne Fitzgerald, APRN
- Nurse Practitioner
- North Little Rock, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- A03058
- Practice address
- 2501 Crestwood Rd Ste 204
North Little Rock, AR 72116-7616 - Phone
- (501) 819-0901
- Fax
- (501) 492-6478
- NPI assigned
- Feb 5, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | A03058 | AR | Primary |
Addresses
Primary practice location
2501 Crestwood Rd Ste 204
North Little Rock, AR 72116-7616
Mailing address
2501 Crestwood Rd Ste 204
North Little Rock, AR 72116-7616
Phone (501) 819-0901
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2501 Crestwood Rd
Suite 204
North Little Rock, AR 72116-7616
Phone (501) 819-0901
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A03058 | AR | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kathryn Chenault, MD, PA | Current | Accepting new patients | |
| M.S. Clinc of Arkansas, LLC | Current | Accepting new patients |
Locations
2501 Crestwood Rd
Ste 204
North Little Rock, AR 72116
Phone (501) 753-4132
2215 Wildwood Ave
Ste 200
Sherwood, AR 72120
Phone (501) 819-0901
Organizations & group practices 2
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.
-
- Medical Specialty Clinic/Center
- Sherwood, AR
- NPI 1114292638
-
- Health Service Clinic/Center
- Sherwood, AR
- NPI 1962665117
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642464000000",
"number": "1437337110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 CRESTWOOD RD STE 204",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721167616",
"telephone_number": "501-819-0901",
"fax_number": "501-492-6478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 CRESTWOOD RD STE 204",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721167616",
"telephone_number": "501-819-0901",
"fax_number": "501-492-6478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZGERALD",
"first_name": "BRENNA",
"middle_name": "LEANNE",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-05",
"last_updated": "2022-01-18",
"certification_date": "2022-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AR",
"license": "A03058",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.
- 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.