Brittani Rose Brenner, RN
Individual provider Active NPI Certified Registered Nurse Anesthetist · Fenton, MI
NPI 1972268720 · NPPES record last updated May 17, 2023
Key facts
- NPI
- 1972268720
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 4704298673 (MI)
- Practice address
- 9180 Parshallville Rd
Fenton, MI 48430-9212 - Phone
- (810) 275-2167
- NPI assigned
- Nov 6, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Northstar Anesthesia of Michigan III PLLC
Practice addresses (Care Compare)
18101 Oakwood Blvd
Dearborn, MI 48124-4089
Phone (214) 687-0001
33155 Annapolis St
Wayne, MI 48184-2405
Phone (214) 687-0001
Hospital & facility affiliations
- Beaumont Hospital - Dearborn
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211222000726 | MI | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 5799176046 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704298673 | MI | MD | Critical Care Medicine Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northstar Anesthesia of Michigan III PLLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
Locations
33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4042
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 4704298673 | MI | |
| Certified Registered Nurse Anesthetist | 367500000X | 4704298673 | MI | Yes |
Addresses
Primary practice location
9180 Parshallville Rd
Fenton, MI 48430-9212
Mailing address
9180 Parshallville Rd
Fenton, MI 48430-9212
Phone (810) 275-2167
Other providers in Fenton, MI
- Carlton O Bosse
- Jeffery Bossenberger
- Ellen Bowlin
- Judy Gaye Boyer
- Amy Lynn Bray
- Anna Brewer
- Brian E. Stone, P.C.
- Carol Jeanne Briggs
- Sarah Marie Brubaker
- Jennifer Bryant
All providers in Fenton, MI · Certified Registered Nurse Anesthetist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.