Michelle Brenner, RN, APN,C, RNFA

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

26NJ00061100 Issued in NJ

Practice address

140 Mountain Ave
Summit, NJ 07901-3424

Phone

(908) 771-0788

NPI assigned

Jun 24, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse, Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• University Spine Center, P.C.

  • Specialist
  • Wayne, NJ
  • NPI 1023224029
  Medicare reassignment
• First Assist New Jersey, LLC

  • Nurse Practitioner
  • Summit, NJ
  • NPI 1265656771
  NPD (past) Authorized official

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679579452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 MOUNTAIN AVE",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079013424",
            "telephone_number": "908-771-0788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 MOUNTAIN AVE",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079013424",
            "telephone_number": "908-771-0788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNER",
        "first_name": "MICHELLE",
        "credential": "RN, APN,C, RNFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00061100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Brams, PH.D.
• Anthony Branco
• Karissa Brand-Figueroa
• Melissa Brauner, MS, OTR/L
• Brendan P. McCollum, MD LLC
• Brian Pollack, LCSW LLC (Hilltop Behavioral Health)
• Bridges Outreach, Inc.
• Amy Brightman, LCSW
• Gail Lee Britt, L.C.S.W.
• Howard Stephen Britt, MD

• Nurse Practitioner in Summit, NJ
• Providers in Summit, NJ by specialty
• Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.