BRENDA LEIGH TRUMBULL (APRN) – Adult Health Nurse Practitioner, NPI 1457973448

BRENDA LEIGH TRUMBULL (APRN) is a healthcare provider. based in Tipp city, Ohio. specializing in Adult Health Nurse Practitioner. They hold the professional credentials APRN. They hold a License No. APRN.CNP.026717 (OH). The NPI Number for BRENDA LEIGH TRUMBULL (APRN) is 1457973448

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
BRENDA LEIGH TRUMBULL (APRN)
NPI
1457973448
Phone
(937) 716-8987
Address
6048 BOXELDER DR
Enumeration Date
12 May 2020
Last Update Date
6 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9374407888
Graduation Year
2020 (6 years ago)
PAC ID
6103247242
Group Practice PAC ID
6901167501
Professional Enrollment ID
I20200528001448
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

Provider Addresses for BRENDA LEIGH TRUMBULL (APRN)

  • 6048 BOXELDER DR

    TIPP CITY, OH 453717590

    Phone: (937) 716-8987

    Type: Mailing

  • 4230 RESEARCH BLVD

    BEAVERCREEK, OH 454302204

    Phone: (937) 204-1781

    Fax: (937) 963-0952

    Type: Location

  • 2554 FERRY RD

    BELLBROOK, OH 453058908

    Phone: (937) 716-8987

    Type: Mailing

  • 2400 MIAMI VALLEY DR STE 215

    CENTERVILLE, OH 454594774

    Phone: (937) 438-2400

    Type: Location

  • 6804 CECELIA DRIVE

    NEW PORT RICHEY, FL 346534935

    Phone: (855) 232-0644

    Fax: (888) 546-0488

    Type: Mailing

  • 4031 COLONEL GLENN HWY STE 133

    BEAVERCREEK TOWNSHIP, OH 454312774

    Phone: (855) 232-0644

    Fax: (888) 546-0488

    Type: Location

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: 2020-05-28

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
I20200528001448INurse PractitionerOHTBD

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
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes2828$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1111$0
View full utilization report →

Insurance plans in this area (ZIP 45371)

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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: 6901167501View full group profile
NameSpecialtyState
Nurse PractitionerOH
Nurse PractitionerOH
-OH

Reviews

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Frequently asked questions

What federal number belongs to BRENDA LEIGH TRUMBULL (APRN)?
The federal identifier for BRENDA LEIGH TRUMBULL (APRN) is NPI 1457973448.
Is BRENDA LEIGH TRUMBULL (APRN)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does BRENDA LEIGH TRUMBULL (APRN) list a primary specialty?
If you are matching referrals, note Adult Health Nurse Practitioner for BRENDA LEIGH TRUMBULL (APRN). Clinical services aligned with this taxonomy classification.
What location shows for BRENDA LEIGH TRUMBULL (APRN)?
We surface Tipp City, Ohio for BRENDA LEIGH TRUMBULL (APRN) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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