Active NPI
Ewa L Brennan, R.N.,M.S.N.,A.N.P.,C
- Family Nurse Practitioner
- Greensboro, NC
National Provider Identifier
1780847731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5017805
- Practice address
- 4125 Lawndale Dr
Greensboro, NC 27455-1885 - Phone
- (336) 543-0786
- NPI assigned
- Jul 9, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 2001030526 | MO | |
| Family Nurse Practitioner | 363LF0000X | 5017805 | NC | Primary |
Addresses
Primary practice location
4125 Lawndale Dr
Greensboro, NC 27455-1885
Mailing address
4125 Lawndale Dr
Greensboro, NC 27455-1885
Phone (336) 543-0786
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
27 Randolph Rd
Howell, NJ 07731-8611
7521 Henson Forest Dr
Summerfield, NC 27358-9158
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2001030526 | MO | MD | Nurse Practitioner |
| 5017805 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Step Up Care of North Carolina PC | Current | Accepting new patients | |
| Inpatient Consultants of Missouri Inc | Past | Accepting new patients |
Locations
27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951
Interoperability endpoints
- ewa.brennan@182105165529092.direct.elationemr.com
- ewa.brennan.1@14940.direct.athenahealth.com
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.
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-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1194779579
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717545600000",
"number": "1780847731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4125 LAWNDALE DR",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274551885",
"telephone_number": "336-543-0786",
"fax_number": "336-234-5411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4125 LAWNDALE DR",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274551885",
"telephone_number": "336-543-0786"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRENNAN",
"first_name": "EWA",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "R.N.,M.S.N.,A.N.P.,C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-09",
"last_updated": "2024-06-05",
"certification_date": "2023-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MO",
"license": "2001030526",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5017805",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.