PAIGE BRENNAN (APRN) – Family Nurse Practitioner, NPI 1730775966
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for PAIGE BRENNAN (APRN)
50 NORTHGATE INDUSTRIAL DR
GRANITE CITY, IL 620406805
Phone: (618) 512-1919
Fax: (618) 512-1920
Type: Location
50 Northgate Industrial Dr
Granite City, IL 620406805
Phone: (618) 512-1919
Fax: (618) 512-1920
Type: Location
2801 W MAIN ST
BELLEVILLE, IL 622266646
Phone: (618) 416-2369
Type: Mailing
2148 Vadalabene Dr
Maryville, IL 620625632
Phone: (618) 288-3100
Type: Location
917 1ST ST
LA SALLE, IL 613012537
Phone: (815) 780-2525
Fax: (815) 205-4533
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 37 Open Payments records for all available years, with a total value of $977.
Total Amount is formed as General ($977) + Research ($0) + Ownership ($0) = $977.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: ABBVIE INC. ($260).
Total Amount
$977
General + Research + Ownership
Payments
37
Total payment records
General Amount
$977
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $260 |
| Alkermes, Inc. | $218 |
| E.R. Squibb & Sons, L.L.C. | $126 |
| Teva Pharmaceuticals USA, Inc. | $104 |
| Janssen Pharmaceuticals, Inc | $100 |
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: 2021-01-30
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 |
|---|---|---|---|---|
| I20210130000130 | I | Nurse Practitioner | IL | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 62040)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | IL | |
| Nurse Practitioner | MI | |
| Nurse Practitioner | IL | |
| Psychiatry, Geriatric Psychiatry | IL | |
| Nurse Practitioner | IL | |
| Mental Health Counselor | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| - | IL | |
| Nurse Practitioner | IL |
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