STACEY BURKE BRENNAN (CRNP) – Family Nurse Practitioner, NPI 1750637062

STACEY BURKE BRENNAN (CRNP) is a healthcare provider. based in New holland, Pennsylvania. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. SP012215 (PA). The NPI Number for STACEY BURKE BRENNAN (CRNP) is 1750637062

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
STACEY BURKE BRENNAN (CRNP)
NPI
1750637062
Phone
(717) 354-4711
Address
584 SPRINGVILLE RD
Enumeration Date
24 July 2012
Last Update Date
19 August 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7175446350
Graduation Year
2012 (14 years ago)
PAC ID
6608195284
Group Practice PAC ID
0941103683
Professional Enrollment ID
I20150504000109
Address ID
PA170229320EL432XXRDXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

11,473 NURSE PRACTITIONER in PA

Provider Addresses for STACEY BURKE BRENNAN (CRNP)

  • 584 SPRINGVILLE RD

    NEW HOLLAND, PA 175579564

    Phone: (717) 354-4711

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $83.

Total Amount is formed as General ($83) + Research ($0) + Ownership ($0) = $83.

Last reported payment date: 2024-04-04 • Largest payer in this snapshot: Astellas Pharma US Inc ($54).

Total Amount

$83

General + Research + Ownership

Payments

3

Total payment records

General Amount

$83

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-04

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: 2015-05-04

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
I20150504000109INurse PractitionerPATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes198112$0
99214Established patient office or other outpatient visit, 30-39 minutes5340$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit3737$0
90662Influenza vaccine split virus, preservative free2020$0
G0008Administration of influenza virus vaccine2020$0
View full utilization report →

Insurance plans in this area (ZIP 17557)

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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: 0941103683View full group profile
NameSpecialtyState
Family Practice, Addiction MedicinePA
N E U R O L O G YNY
H E M A T O L O G Y/ O N C O L O G YPA
Family PracticePA
Nurse PractitionerPA
-PA
Epileptologists, NeurologyPA
-PA
Nurse PractitionerPA
-PA

Reviews

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Frequently asked questions

How do I look up STACEY BURKE BRENNAN (CRNP) by NPI?
Use NPI 1750637062 when you need to reference STACEY BURKE BRENNAN (CRNP) in forms, claims, or directories.
Is STACEY BURKE BRENNAN (CRNP) active in the national directory?
STACEY BURKE BRENNAN (CRNP)'s public NPI profile is in an active state.
What does STACEY BURKE BRENNAN (CRNP) treat or focus on?
Patients typically see STACEY BURKE BRENNAN (CRNP) under the specialty Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does STACEY BURKE BRENNAN (CRNP) practice in Pennsylvania?
You will see New Holland, Pennsylvania on file for STACEY BURKE BRENNAN (CRNP) alongside any extra practice locations.
Is STACEY BURKE BRENNAN (CRNP) a real provider?
This page reflects official NPPES data for NPI 1750637062. Always confirm identity and privileges with the practice and licensing boards.

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