Individual provider Active NPI

Brenna Cosminsky, PA

  • Medical Physician Assistant
  • Manchester, TN
National Provider Identifier
1811360225
Registry record updated Jan 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
2886 Issued in TN
Practice address
1405 Hillsboro Blvd
Manchester, TN 37355-2107
Phone
(931) 954-1020
NPI assigned
Nov 6, 2015
Last updated
Jan 21, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 2886 TN Primary

Addresses

Primary practice location

1405 Hillsboro Blvd
Manchester, TN 37355-2107

Mailing address

1405 Hillsboro Blvd
Manchester, TN 37355-2107
Phone (931) 954-1020

Other practice location 1

1420 W Baddour Pkwy
Suite 110
Lebanon, TN 37087-1510
Phone (615) 331-5536

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20161026000925 TN Practitioner - Physician Assistant 1658659651 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1009 N Locust Ave
Lawrenceburg, TN 38464-2746
Phone (571) 982-6636

1405 Hillsboro Blvd
Manchester, TN 37355-2107
Phone (931) 954-1020

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Seven Springs Orthopaedics, PC CurrentSince Feb 1, 2020 Accepting new patients
Privia Medical Group Tennessee LLC CurrentSince Dec 7, 2021 Accepting new patients
Privia Medical Group Tennessee LLC CurrentSince Dec 7, 2021 Accepting new patients
Seven Springs Orthopaedics, PC CurrentSince Feb 1, 2020 Accepting new patients
Gateway Primary Care LLC Past Accepting new patients

Locations

317 Seven Springs Way
Ste 101
Brentwood, TN 37027
Phone (615) 309-2636

1492 Tiny Town Rd
Ste A1
Clarksville, TN 37042
Phone (615) 758-1030

1047 Glenbrook Way
Ste 110
Hendersonville, TN 37075
Phone (615) 943-5027

1009 N Locust Ave
Lawrenceburg, TN 38464
Phone (931) 244-7181

1405 Hillsboro Blvd
Manchester, TN 37355
Phone (931) 728-8152

4998 Crossings Cir
Ste 200
Mt Juliet, TN 37122

2113 Memorial Blvd
Ste D
Murfreesboro, TN 37129
Phone (615) 640-6447

820 N Thompson Ln
Ste 1H
Murfreesboro, TN 37129
Phone (615) 758-1027

4816 Main St
Ste L
Spring Hill, TN 37174
Phone (615) 861-4444

Interoperability endpoints

  • Direct secure messaging: brenna.cosminsky.1@25094.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1446768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579564800000",
    "number": "1811360225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 HILLSBORO BLVD",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373552107",
            "telephone_number": "931-954-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 HILLSBORO BLVD",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373552107",
            "telephone_number": "931-954-1020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1420 W Baddour Pkwy",
            "address_2": "Suite 110",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "TN",
            "postal_code": "370871510",
            "country_code": "US",
            "telephone_number": "615-331-5536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COSMINSKY",
        "first_name": "BRENNA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-06",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "2886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, TN

Sources for this page

Verify at the official NPI Registry.