Active NPI
Hugh Brenner, FPNP, CRNP
- Psychiatric/Mental Health Nurse Practitioner
- Phoenixville, PA
National Provider Identifier
1639181902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- SP011653
- Practice address
- 186 Camp Council Rd
Phoenixville, PA 19460-1990 - Phone
- (610) 896-4466
- Fax
- (321) 204-6934
- NPI assigned
- Aug 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN287482L | PA | |
| Registered Nurse | 163W00000X | 26NR073233100 | NJ | |
| Family Nurse Practitioner | 363LF0000X | SP011653 | PA | |
| Child & Family Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0810X | 26NC07323100 | NJ | |
| Child & Family Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0810X | RN287482L | PA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | SP011653 | PA | Primary |
Addresses
Primary practice location
186 Camp Council Rd
Phoenixville, PA 19460-1990
Mailing address
186 Camp Council Rd
Phoenixville, PA 19460-1990
Phone (610) 896-4466
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8463808 | Medicaid | NJ |
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
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Phoenixville, PA 19460
Phone (610) 896-4466
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Family Practice Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NR073233100 | NJ | MD | Registered Nurse |
| 26NC07323100 | NJ | MD | Child & Family Psychiatric/Mental Health Clinical Nurse Specialist |
| RN287482L | PA | MD | Child & Family Psychiatric/Mental Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fellowship Health Resources, Inc | Current | Accepting new patients | |
| Scott a. Fleischer, M.D., P.C. | Past | Accepting new patients |
Locations
1041 W Bridge St
Ste 5
Phoenixville, PA 19460
Phone (610) 415-9301
24 Albion Rd
Ste 420
Lincoln, RI 02865
Phone (401) 333-3980
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.
-
dba Elwyn Adult Behavioral Health Services
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lincoln, RI
- NPI 1245239680
PA
-
- Psychiatry Physician
- Fort Washington, PA
- NPI 1720181720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605830400000",
"number": "1639181902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "186 CAMP COUNCIL RD",
"city": "PHOENIXVILLE",
"state": "PA",
"postal_code": "194601990",
"telephone_number": "610-896-4466",
"fax_number": "321-204-6934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "186 CAMP COUNCIL RD",
"city": "PHOENIXVILLE",
"state": "PA",
"postal_code": "194601990",
"telephone_number": "610-896-4466",
"fax_number": "321-204-6934"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRENNER",
"first_name": "HUGH",
"name_prefix": "Mr.",
"credential": "FPNP, CRNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-13",
"last_updated": "2020-11-20",
"certification_date": "2020-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN287482L",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NJ",
"license": "26NR073233100",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP011653",
"primary": false
},
{
"code": "364SP0810X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Family",
"state": "NJ",
"license": "26NC07323100",
"primary": false
},
{
"code": "364SP0810X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Family",
"state": "PA",
"license": "RN287482L",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "PA",
"license": "SP011653",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8463808",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenixville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; 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.