BRENNA J. PETRO (FNP) – Family Nurse Practitioner, NPI 1174851497
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,802 NURSE PRACTITIONER in ID
Provider Addresses for BRENNA J. PETRO (FNP)
2199 N MERRIT CRK LOOP
COEUR D ALENE, ID 838144949
Phone: (208) 665-7546
Type: Mailing
110, South Coronado Drive, Village Meadows, Sierra Vista, Cochise County, Arizona, 85635, United States
SIERRA VISTA, AZ 856356352
Phone: (520) 458-1787
Fax: (520) 458-1519
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 58 Open Payments records for all available years, with a total value of $1,250.
Total Amount is formed as General ($1,250) + Research ($0) + Ownership ($0) = $1,250.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Janssen Biotech, Inc. ($478).
Total Amount
$1,250
General + Research + Ownership
Payments
58
Total payment records
General Amount
$1,250
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $478 |
| ABBVIE INC. | $280 |
| UCB, Inc. | $173 |
| Novartis Pharmaceuticals Corporation | $127 |
| E.R. Squibb & Sons, L.L.C. | $88 |
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: 2022-08-06
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220806000367 | I | Nurse Practitioner | ID | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,558 | 294 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 677 | 512 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 447 | 370 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 365 | 301 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 179 | 163 | $0 |
Insurance plans in this area (ZIP 83814)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | ID | |
| Nurse Practitioner | ID | |
| - | WA | |
| Physician Assistant | ID | |
| D E R M A T O L O G Y | WA | |
| Nurse Practitioner | UT | |
| - | ID | |
| Physician Assistant | ID | |
| Physician Assistant | OR | |
| Physician Assistant | ID |
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