Ellen Bryn Brennan, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

SP025575 Issued in PA

Practice address

405 Silverside Rd Ste 104
Wilmington, DE 19809-1768

Phone

(844) 365-7246

Fax

(302) 792-1372

NPI assigned

Jun 19, 2022

Last updated

Sep 12, 2023By the provider in NPPES

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

Other names 1

• Ellen Bryn Baker Former name

Medicare fee-for-service enrollment

Enrolled in DE, PA, NC, CT, MA5 enrollments

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 5

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Post Acute Specialists of Massachusetts PLLCGroup PAC ID 0244640498, 49 clinicians

Post Acute Specialists LLCGroup PAC ID 1951676568, 180 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Notre Dame Long Term Care Center Nursing home, Worcester, MA, CCN 225577
• Edenbrook on Second Ave Nursing home, Kingston, PA, CCN 395397

Merit-based Incentive Payment System (MIPS)

Final score

71.05 of 100Reported as group

Quality

87.44

Promoting interoperability

0

Improvement activities

40

Cost

81.09

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Post Acute Specialists of Massachusetts PLLC

  • Internal Medicine Physician
  • Taunton, MA
  • NPI 1104438480
  Medicare reassignment Care Compare group NPD
• Post Acute Specialists, LLC

  • Internal Medicine Physician
  • Naperville, IL
  • NPI 1114441565

  CT, DE, NC, PA

  Medicare reassignment Care Compare group NPD
• Center for Interventional Pain Spine LLC

  • Interventional Pain Medicine Physician
  • Middletown, DE
  • NPI 1144527003
  Medicare reassignment NPD
• Visavis Health Care Medical Group of de PA

  • Family Medicine Physician
  • Seaford, DE
  • NPI 1164284048
  Medicare reassignment NPD
• Visavis Health Care Medical Group of NC PLLC

  • Family Medicine Physician
  • Mount Olive, NC
  • NPI 1861274607
  Medicare reassignment NPD
• Visavis Health Care Medical Group of Pennsylvania PLLC

  • Family Medicine Physician
  • Wayne, PA
  • NPI 1619688132
  Medicare reassignment NPD
• Center for Interventional Pain Spine LLC

  • Durable Medical Equipment & Medical Supplies
  • Elkton, MD
  • NPI 1447906706
  NPD

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

• Kingston SNF Operations, LLC

  • Skilled Nursing Facility
  • Kingston, PA
  • NPI 1306670963

  Nursing home

  Care Compare affiliation
• Notre Dame Health Care Center,Inc

  • Skilled Nursing Facility
  • Worcester, MA
  • NPI 1396736930

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1655596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1821729039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 CARTER DR STE A",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197095845",
            "telephone_number": "844-365-7246",
            "fax_number": "844-516-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 SILVERSIDE RD STE 104",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198091768",
            "telephone_number": "844-365-7246",
            "fax_number": "302-792-1372"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1197 Airport Rd Fl 2",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "DE",
            "postal_code": "199636418",
            "country_code": "US",
            "telephone_number": "844-365-2746",
            "fax_number": "302-503-3432",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3105 Limestone Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198082156",
            "country_code": "US",
            "telephone_number": "844-365-7246",
            "fax_number": "302-482-2212",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "291 Carter Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "DE",
            "postal_code": "197095845",
            "country_code": "US",
            "telephone_number": "844-365-7246",
            "fax_number": "302-349-7071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRENNAN",
        "first_name": "ELLEN",
        "middle_name": "BRYN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-19",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "DE",
            "license": "LP-0010054",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP025575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLEN",
            "last_name": "BAKER",
            "middle_name": "BRYN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Glenna Breslin Cordo, FNP-BC
• Erin Breslin

• Adult Health Nurse Practitioner in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Adult Health Nurse Practitioner in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; 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.