Nicholas Brenny, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

055-0030894 Issued in VT

Practice address

354 Mountain View Dr Ste 300
Colchester, VT 05446-5988

Phone

(802) 864-0192

Fax

(802) 860-4919

NPI assigned

Jan 3, 2008

Last updated

Oct 22, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in VT

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

Specialty

Physician Assistant

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Green Mountain Dermatology PLLCGroup PAC ID 4688011992, 15 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

88.67 of 100Reported as group

Quality

80.11

Improvement activities

40

Cost

88.76

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Green Mountain Dermatology PLLC

  dba Four Seasons Dermatology

  • Dermatology Physician
  • Colchester, VT
  • NPI 1093577827
  Medicare reassignment Care Compare group
• University of Vermont Medical Center Inc

  dba Uvm Medical Center

  • Internal Medicine Physician
  • Burlington, VT
  • NPI 1659309615
  Medicare reassignment NPD
• Four Seasons Dermatology LLC

  • Dermatology Physician
  • Colchester, VT
  • NPI 1790737393
  Medicare reassignment

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

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792627200000",
    "number": "1730364142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 MOUNTAIN VIEW DR STE 300",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054465988",
            "telephone_number": "802-864-0192",
            "fax_number": "802-860-4919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 MOUNTAIN VIEW DR STE 300",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054465988",
            "telephone_number": "802-864-0192",
            "fax_number": "802-860-4919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNY",
        "first_name": "NICHOLAS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-03",
        "last_updated": "2026-10-22",
        "certification_date": "2026-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VT",
            "license": "055-0030894",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "VT",
            "license": "055-0030894",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9104082",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gayle I Botelho, ATC
• Justin Michael Boufford, PHARM. D.
• Carolyn Bowman Bliek, RPH
• Lakshmi Joshi Boyle, M.S., CCC-SLP
• Natalie Rose Bradford, PT
• Kristin S Brewster, OTR
• Courtney Joy Brink, M.S., CCC-SLP
• Elizabeth Brown-Higdon, PHARMD
• Cody W Brown
• Jennifer Keller Brown, MD

• Physician Assistant in Colchester, VT
• Providers in Colchester, VT by specialty
• Physician Assistant in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2026; 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.

Verify at the official NPI Registry.