PAIGE BRENNAN (APRN) – Family Nurse Practitioner, NPI 1730775966

PAIGE BRENNAN (APRN) is a healthcare provider. based in Granite city, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 277004726 (IL). The NPI Number for PAIGE BRENNAN (APRN) is 1730775966

Main info

Female
6 Years Of Experience
Name
PAIGE BRENNAN (APRN)
NPI
1730775966
Phone
(618) 512-1919
Address
50 NORTHGATE INDUSTRIAL DR
Enumeration Date
11 December 2020
Last Update Date
7 April 2026

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
6188774420
Graduation Year
2020 (6 years ago)
PAC ID
5496169625
Group Practice PAC ID
1052393063
Professional Enrollment ID
I20210130000130
Address ID
IL620406805GR50XXXDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness85
Years active:5State licenses:1Digital endpointsOther names

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

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: 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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210130000130INurse PractitionerILTBD

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 62040)

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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: 1052393063View full group profile
NameSpecialtyState
Mental Health CounselorIL
Nurse PractitionerMI
Nurse PractitionerIL
Psychiatry, Geriatric PsychiatryIL
Nurse PractitionerIL
Mental Health CounselorIL
Nurse PractitionerIL
Nurse PractitionerIL
-IL
Nurse PractitionerIL

Reviews

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Frequently asked questions

How do I look up PAIGE BRENNAN (APRN) by NPI?
Use NPI 1730775966 when you need to reference PAIGE BRENNAN (APRN) in forms, claims, or directories.
Does this profile mean PAIGE BRENNAN (APRN) is currently active?
Yes — PAIGE BRENNAN (APRN) appears active in the national provider directory.
Does PAIGE BRENNAN (APRN) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for PAIGE BRENNAN (APRN). Clinical services aligned with this taxonomy classification.
Where does public data place PAIGE BRENNAN (APRN)?
The snapshot lists Granite City, Illinois for PAIGE BRENNAN (APRN); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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