Individual provider Active NPI

Hugh Brenner, FPNP, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenixville, PA
National Provider Identifier
1639181902
Registry record updated Nov 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP011653 Issued in PA
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

Updated by the provider on Nov 20, 2020

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8463808MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040804000788 PA Practitioner - Certified Clinical Nurse Specialist (CNS) 1759352685 Reassigns benefits to 1 organization
Practice locations: Media, PA
I20131029001506 PA Practitioner - Nurse Practitioner 1759352685 Practice locations: Phoenixville, PA

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

LicenseStateTypeSpecialty
26NR073233100NJMDRegistered Nurse
26NC07323100NJMDChild & Family Psychiatric/Mental Health Clinical Nurse Specialist
RN287482LPAMDChild & Family Psychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Fellowship Health Resources, Inc CurrentSince Oct 1, 2015 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.

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

Verify at the official NPI Registry.