BRENNA GRACE MAYNARD-WHITE (NP) – Family Nurse Practitioner, NPI 1942817689
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,476 NURSE PRACTITIONER in RI
Provider Addresses for BRENNA GRACE MAYNARD-WHITE (NP)
55 LOWER COLLEGE RD
KINGSTON, RI 028811972
Phone: (401) 874-2262
Fax: (401) 874-5491
Type: Location
277 PLEASANT ST
FALL RIVER, MA 027213005
Phone: (508) 676-3292
Type: Location
87 FATIMA DR
BRISTOL, RI 028094738
Phone: (401) 575-9974
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 23 Open Payments records for all available years, with a total value of $745.
Total Amount is formed as General ($745) + Research ($0) + Ownership ($0) = $745.
Last reported payment date: 2024-11-19 • Largest payer in this snapshot: MIMEDX Group, Inc. ($296).
Total Amount
$745
General + Research + Ownership
Payments
23
Total payment records
General Amount
$745
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| MIMEDX Group, Inc. | $296 |
| Janssen Pharmaceuticals, Inc | $135 |
| Bolton Medical Inc | $88 |
| Philips North America LLC | $80 |
| Davol Inc. | $33 |
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: 2022-01-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20210726001022 | I | Nurse Practitioner | MA | TBD |
| I20220110000135 | I | Nurse Practitioner | RI | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 386 | 327 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 116 | 98 | $0 |
| 99407 | Smoking and tobacco use intensive counseling, more than 10 minutes | 92 | 69 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 45 | 43 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 42 | 42 | $0 |
Insurance plans in this area (ZIP 02881)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Hematology/Oncology, Hospitalist, Hospitalist | VT | |
| Internal Medicine | MA | |
| Infectious Disease, Internal Medicine | MA | |
| Internal Medicine | MA | |
| Diagnostic Radiology, Internal Medicine | RI | |
| Nurse Practitioner | MA | |
| Internal Medicine | MA | |
| Physician Assistant | MA | |
| - | MA | |
| Internal Medicine | MA |
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