Individual provider Active NPI

Brandie Lee Renart Teitler, PA-C

  • Medical Physician Assistant
  • Stuart, FL
National Provider Identifier
1619646866
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9114932 Issued in FL
Practice address
650 SE Indian St Ste 4
Stuart, FL 34997-5565
Phone
(772) 403-2227
NPI assigned
Sep 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9114932 FL Primary

Addresses

Primary practice location

650 SE Indian St Ste 4
Stuart, FL 34997-5565

Mailing address

650 SE Indian St Ste 4
Stuart, FL 34997-5565
Phone (772) 403-2227

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20230914000844 FL Practitioner - Physician Assistant 9638533359 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Dermatology Specialists, PLLCGroup PAC ID 5890163182, 9 clinicians

Practice addresses (Care Compare)

650 SE Indian St
Suite 4
Stuart, FL 34997-5565
Phone (772) 403-2227

Merit-based Incentive Payment System (MIPS)

Final score
83.7 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
45.65

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Dermatology Specialists, PLLC CurrentSince Aug 1, 2023 Accepting new patients
Dermatology Associates of the Palm Beaches PLLC PastSince Nov 5, 2023 Accepting new patients
Peter a Vitulli Jr D O P a PastSince Dec 1, 2022 Accepting new patients
Mark E Pomper MD PA PastSince Dec 1, 2022 Accepting new patients

Locations

650 SE Indian St
Ste 4
Stuart, FL 34997
Phone (772) 403-2227

8645 N Military Trl
Ste 508
West Palm Beach, FL 33410
Phone (561) 630-8001

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1631232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1619646866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 SE INDIAN ST STE 4",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349975565",
            "telephone_number": "772-403-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 SE INDIAN ST STE 4",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349975565",
            "telephone_number": "772-403-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEITLER",
        "first_name": "BRANDIE",
        "middle_name": "LEE RENART",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-10",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9114932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

Verify at the official NPI Registry.