Impact RN PLLC

Primary specialty

Registered NurseTaxonomy code 163W00000X

Legal business name

IMPACT RN PLLC

Practice address

167 Merrill St.
Brentwood, NY 11717

Phone

(631) 767-9090

Fax

(270) 837-7593

NPI assigned

Dec 4, 2025

Organization subpart

No

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

Authorized official

Name

Brenda Mickens, MSN, RNNPI 1881919116

Title

Owner/Managing Member

Phone

(631) 767-9090

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brenda Mickens, LPN

  • Registered Nurse
  • Copiague, NY
  • NPI 1881919116
  NPD Authorized official

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

{
    "created_epoch": "1764806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765929600000",
    "number": "1952264152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 ROUTE 25A STE 3034",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117332954",
            "telephone_number": "631-819-3094",
            "fax_number": "270-837-7593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 MERRILL ST.",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "11717",
            "telephone_number": "631-767-9090",
            "fax_number": "270-837-7593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACT RN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-04",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A",
        "authorized_official_last_name": "MICKENS",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "OWNER/MANAGING MEMBER",
        "authorized_official_telephone_number": "631-767-9090",
        "authorized_official_credential": "MSN, RN"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maureen Hunt-Treston, R.N.
• Jennifer Hyman, LPN
• Hyunna Song DMD, P.C.
• Jamie Nicole Iacobelli, R.N.
• Mark Anthony Sosa Ilao, PT
• In Sync Suffolk Chiropractic P.C.
• Ann Ingellis, LCSW-R
• Jannet Ingles Melero, R.PH.
• Intensive Case Management Program
• Interboro Services, Inc.

• Registered Nurse in Brentwood, NY
• Providers in Brentwood, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.