DR. LISA ANNE BRENNER (PH.D.) – Psychologist, NPI 1083680821

DR. LISA ANNE BRENNER (PH.D.) is a healthcare provider. based in Denver, Colorado. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. 2312 (CO). The NPI Number for DR. LISA ANNE BRENNER (PH.D.) is 1083680821

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. LISA ANNE BRENNER (PH.D.)
NPI
1083680821
Phone
(303) 399-8020
Address
1055 CLERMONT ST
Enumeration Date
23 February 2006
Last Update Date
27 February 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7207771234
Graduation Year
1997 (29 years ago)
PAC ID
9638453897
Group Practice PAC ID
3476465667
Professional Enrollment ID
I20170307001580
Address ID
CO800457106AU13123AVEX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

747 CLINICAL PSYCHOLOGIST in CO

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Provider Addresses for DR. LISA ANNE BRENNER (PH.D.)

  • Denver Veterans Affairs Medical Center, 1055, Clermont Street, Denver, Denver County, Colorado, 80220, United States

    116B

    DENVER, CO 802203808

    Phone: (303) 399-8020

    Fax: (303) 393-5076

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-03-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170307001580IClinical PsychologistCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 80220)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3476465667View full group profile
NameSpecialtyState
-CO
Family PracticeCO
Advanced Heart Failure And Transplant Cardiology, Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Internal MedicineCO
Emergency MedicineCO
Emergency MedicineCO
-CO
-CO
Emergency MedicineCO
-CO
-CO

Reviews

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Frequently asked questions

Can I verify DR. LISA ANNE BRENNER (PH.D.) with an NPI only?
You can start verification with NPI 1083680821 for DR. LISA ANNE BRENNER (PH.D.), then check state licensing separately.
Is DR. LISA ANNE BRENNER (PH.D.) still practicing?
DR. LISA ANNE BRENNER (PH.D.) is currently listed as active in the public NPI registry.
What is DR. LISA ANNE BRENNER (PH.D.) best known for clinically?
Directory data describes DR. LISA ANNE BRENNER (PH.D.) with Psychologist. Clinical services aligned with this taxonomy classification.
Where is DR. LISA ANNE BRENNER (PH.D.) based?
DR. LISA ANNE BRENNER (PH.D.) is tied to Denver, Colorado in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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