DR. NICOLE RACHELLE BRENNER (M.D.) – Internal Medicine Physician, NPI 1104212695

DR. NICOLE RACHELLE BRENNER (M.D.) is a healthcare provider. based in Kissimmee, Florida. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. ME140460 (FL). The NPI Number for DR. NICOLE RACHELLE BRENNER (M.D.) is 1104212695

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. NICOLE RACHELLE BRENNER (M.D.)
NPI
1104212695
Phone
(407) 483-3376
Address
806 WEST OAK STREET
Enumeration Date
10 April 2015
Last Update Date
26 June 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4074833376
Graduation Year
2015 (11 years ago)
PAC ID
8224361662
Group Practice PAC ID
0840366126
Professional Enrollment ID
I20190618000102
Address ID
FL347416625KI806XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

12,425 INTERNAL MEDICINE in FL

Provider Addresses for DR. NICOLE RACHELLE BRENNER (M.D.)

  • 806 WEST OAK STREET

    KISSIMMEE, FL 34741

    Phone: (407) 483-3376

    Fax: (407) 201-7304

    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)

CMS reports 12 Open Payments records for all available years, with a total value of $246.

Total Amount is formed as General ($246) + Research ($0) + Ownership ($0) = $246.

Last reported payment date: 2024-10-24 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($60).

Total Amount

$246

General + Research + Ownership

Payments

12

Total payment records

General Amount

$246

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-24

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2019-06-18

PECOS data refreshed: 2026-06-15

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
I20190618000102IInternal MedicineFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes9540$0
99214Established patient office or other outpatient visit, 30-39 minutes2420$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2112$0
99213Established patient office or other outpatient visit, 20-29 minutes2015$0
View full utilization report →

Insurance plans in this area (ZIP 34741)

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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: 0840366126View full group profile
NameSpecialtyState
Internal MedicineNY
General SurgeryFL
General SurgeryFL
Plastic And Reconstructive SurgeryFL
General SurgeryFL
O B S T E T R I C S/ G Y N E C O L O G YTX
Physician AssistantFL
Neurology, PsychiatryKY
N E U R O L O G YFL
General Surgery, Thoracic SurgeryTX

Reviews

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Frequently asked questions

What NPI should I save for DR. NICOLE RACHELLE BRENNER (M.D.)?
Save NPI 1104212695 if you need a stable reference for DR. NICOLE RACHELLE BRENNER (M.D.).
Is DR. NICOLE RACHELLE BRENNER (M.D.) currently active in the NPI registry?
CMS-published data lists DR. NICOLE RACHELLE BRENNER (M.D.) as an active registrant.
Does DR. NICOLE RACHELLE BRENNER (M.D.) list a primary specialty?
If you are matching referrals, note Internal Medicine Physician for DR. NICOLE RACHELLE BRENNER (M.D.). Clinical services aligned with this taxonomy classification.
Where is DR. NICOLE RACHELLE BRENNER (M.D.)'s primary listing?
We display Kissimmee, Florida because that is what the record indicates for DR. NICOLE RACHELLE BRENNER (M.D.).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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