RYANN BRENNER – Physician Assistant, NPI 1558764084

RYANN BRENNER is a healthcare provider. based in Oakwood, Ohio. specializing in PHYSICIAN ASSISTANT. The NPI Number for RYANN BRENNER is 1558764084

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
RYANN BRENNER
NPI
1558764084
Phone
(937) 245-7200
Address
300 MAYSFIELD RD
Enumeration Date
29 September 2014
Last Update Date
10 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7036582650
Graduation Year
2014 (12 years ago)
PAC ID
2062729403
Group Practice PAC ID
3072662527
Professional Enrollment ID
I20260206002213
Address ID
VA223042907AL5249XSTXX310
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:11State licenses:0Digital endpointsOther names

4,161 PHYSICIAN ASSISTANT in CO

Provider Addresses for RYANN BRENNER

  • 300 MAYSFIELD RD

    OAKWOOD, OH 454193315

    Phone: (937) 245-7200

    Type: Mailing

  • 8540 SCARBOROUGH DR STE 100

    COLORADO SPRINGS, CO 80920

    Phone: (719) 364-6970

    Fax: (719) 365-7667

    Type: Location

  • 1414 S Grand Ave Ste 100

    Los Angeles, CA 900153071

    Phone: (213) 481-2200

    Type: Location

  • 12610 S WESTERN AVE

    LOS ANGELES, CA 900475252

    Phone: (323) 757-1853

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $48.

Total Amount is formed as General ($48) + Research ($0) + Ownership ($0) = $48.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Exact Sciences Corporation ($24).

Total Amount

$48

General + Research + Ownership

Payments

2

Total payment records

General Amount

$48

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

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: 2026-02-06

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20260206002213IPhysician AssistantDCTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes3130$0
View full utilization report →

Insurance plans in this area (ZIP 45419)

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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: 3072662527View full group profile
NameSpecialtyState
Rheumatology, Internal MedicineVA
Physician AssistantMD
Cardiovascular Disease (Cardiology), Internal MedicineVA
Physician AssistantMN
Internal MedicineVA

Reviews

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Frequently asked questions

Can I verify RYANN BRENNER with an NPI only?
You can start verification with NPI 1558764084 for RYANN BRENNER, then check state licensing separately.
Does CMS list RYANN BRENNER as active?
Yes — RYANN BRENNER is active in the NPI listing used on this page.
What taxonomy line describes RYANN BRENNER?
For research purposes, treat RYANN BRENNER as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect RYANN BRENNER on a map?
Expect Oakwood, Ohio as a primary anchor for RYANN BRENNER unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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