Brenna E Fox, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

402569 Issued in NY

Practice address

3055 Southwestern Blvd Ste 110
Orchard Park, NY 14127-1231

Phone

(716) 903-6036

Fax

(716) 463-2225

NPI assigned

Nov 27, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Erie County Medical Center CorporationGroup PAC ID 1456308907, 316 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Erie County Medical Center Hospital, Buffalo, NY, CCN 330219

Merit-based Incentive Payment System (MIPS)

Final score

90.97 of 100Reported as group

Quality

80.2

Improvement activities

40

Cost

72.88

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HEGDAA

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.

• Erie County Medical Center Corporation

  • Clinic/Center
  • Buffalo, NY
  • NPI 1528233616
  Medicare reassignment Care Compare group NPD
• County of Chautauqua - a Mun Corp

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jamestown, NY
  • NPI 1902897374
  Medicare reassignment NPD
• Horizon Health Services Inc

  • Community/Behavioral Health Agency
  • Getzville, NY
  • NPI 1043387152
  Medicare reassignment NPD
• County of Chautauqua - a Mun Corp

  • Ambulance
  • Mayville, NY
  • NPI 1992244404
  NPD
• Erie County Medical Center Corporation

  • Community/Retail Pharmacy
  • Buffalo, NY
  • NPI 1922768621
  NPD
• Illuminate NP Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Orchard Park, NY
  • NPI 1003671009
  NPD
• Erie County Medical Center Corporation

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1437197985
  NPD (past)
• Illuminate NP Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Orchard Park, NY
  • NPI 1871184424
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Erie County Medical Center Corporation

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1437197985
  Care Compare affiliation

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

{
    "created_epoch": "1511740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1801300017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3055 SOUTHWESTERN BLVD STE 110",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271231",
            "telephone_number": "716-903-6036",
            "fax_number": "716-463-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3055 SOUTHWESTERN BLVD STE 110",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271231",
            "telephone_number": "716-903-6036",
            "fax_number": "716-463-2225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3020 Bailey Ave",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142152814",
            "country_code": "US",
            "telephone_number": "716-831-2700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOX",
        "first_name": "BRENNA",
        "middle_name": "E",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-27",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "696089",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "402569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Forrest, RN
• Amy Elizabeth Forsyth, RN
• Marilyn Jean Found, LMT
• Spencer Fowler, ATC
• Anthony Fox
• Debra Jeanne Fox, SLP
• Sheila Anne Francis
• Eileen Mary Frawley-Millick, OT
• Lauren Freeman
• Amy Jean Gagliardo, RN

• Psychiatric/Mental Health Nurse Practitioner in Orchard Park, NY
• Providers in Orchard Park, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.

Verify at the official NPI Registry.