Individual provider Active NPI

Judy A. Brenek, RN/CNP

  • Nurse Practitioner
  • Lima, OH
National Provider Identifier
1811922024
Registry record updated Dec 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.04615 Issued in OH
Practice address
1005 Bellefontaine Ave
Suite 100
Lima, OH 45804-2851
Phone
(419) 227-5298
Fax
(419) 227-5879
NPI assigned
Jul 12, 2006
Last updated
Dec 29, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN162141 OH
Nurse Practitioner 363L00000X APRN.CNP.04615 OH Primary

Addresses

Primary practice location

1005 Bellefontaine Ave
Suite 100
Lima, OH 45804-2851

Mailing address

1001 Bellefontaine Ave
Lima, OH 45804-2800
Phone (419) 998-4575

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address judy.brenek@lmpc.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20050608000023 OH Practitioner - Nurse Practitioner 2466495924 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1005 Bellefontaine Ave
Suite 100
Lima, OH 45804-2871
Phone (419) 227-5298

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
APRN.CNP.04615OHMDNurse Practitioner
RN162141OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lima Memorial Professional Corporation CurrentSince Mar 12, 2012 Accepting new patients
Lima Memorial Professional Corporation Nurse Practitioner CurrentSince Mar 12, 2012 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Aprn Healthcare Providers LLC PastSince Apr 5, 2005 Accepting new patients
Specialized Therapy Services, LLC PastSince Aug 1, 2013 Accepting new patients

Locations

520 W Lincoln Ave
Ste A
Ada, OH 45810
Phone (419) 634-2015

L3982
Columbus, OH 43260

1001 Bellefontaine Ave
Lima, OH 45804
Phone (419) 228-3335

1003 Bellefontaine Ave
Ste 150
Lima, OH 45804
Phone (419) 998-8207

1003 Bellefontaine Ave
Ste 200
Lima, OH 45804
Phone (419) 224-5914

1005 Bellefontaine Ave
Ste 100
Lima, OH 45804
Phone (419) 222-3521

1005 Bellefontaine Ave
Ste 340
Lima, OH 45804
Phone (419) 222-8432

240 W Northern Ave
Ste 3
Lima, OH 45801
Phone (419) 222-8432

375 N Eastown Rd
Ste C
Lima, OH 45807
Phone (419) 222-6595

525 N Eastown Rd
Lima, OH 45807
Phone (419) 228-7275

525 N Eastown Rd
Ste 102
Lima, OH 45807
Phone (419) 998-8214

102 Putnam Pkwy
Ottawa, OH 45875
Phone (419) 523-9632

602 W Redskin Trl
Wapakoneta, OH 45895
Phone (419) 738-5151

Interoperability endpoints

  • Direct secure messaging: judy.brenek@lmpc.eclinicaldirectplus.com

Organizations & group practices 5

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 1

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1811922024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 BELLEFONTAINE AVE",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458042800",
            "telephone_number": "419-998-4575",
            "fax_number": "419-998-4586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 BELLEFONTAINE AVE",
            "address_2": "SUITE 100",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458042851",
            "telephone_number": "419-227-5298",
            "fax_number": "419-227-5879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENEK",
        "first_name": "JUDY",
        "middle_name": "A.",
        "credential": "RN/CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "RN162141",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.04615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "judy.brenek@lmpc.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1005 Bellefontaine Ave",
            "address_2": "Suite 100",
            "city": "Lima",
            "state": "OH",
            "country_code": "US",
            "postal_code": "458042851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

Verify at the official NPI Registry.