BRENNA GRACE MAYNARD-WHITE (NP) – Family Nurse Practitioner, NPI 1942817689

BRENNA GRACE MAYNARD-WHITE (NP) is a healthcare provider. based in Kingston, Rhode Island. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. RN2308899 (MA). The NPI Number for BRENNA GRACE MAYNARD-WHITE (NP) is 1942817689

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
BRENNA GRACE MAYNARD-WHITE (NP)
NPI
1942817689
Phone
(401) 874-2262
Address
55 LOWER COLLEGE RD
Enumeration Date
27 September 2020
Last Update Date
10 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4013514041
Graduation Year
2020 (6 years ago)
PAC ID
3274936422
Group Practice PAC ID
2567356017
Professional Enrollment ID
I20220110000135
Address ID
RI029193228JO1524XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

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

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: 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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210726001022INurse PractitionerMATBD
I20220110000135INurse PractitionerRITBD

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 minutes386327$0
99214Established patient office or other outpatient visit, 30-39 minutes11698$0
99407Smoking and tobacco use intensive counseling, more than 10 minutes9269$0
99212Established patient office or other outpatient visit, 10-19 minutes4543$0
99204New patient office or other outpatient visit, 45-59 minutes4242$0
View full utilization report →

Insurance plans in this area (ZIP 02881)

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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: 2567356017View full group profile
NameSpecialtyState
Internal Medicine, Hematology/Oncology, Hospitalist, HospitalistVT
Internal MedicineMA
Infectious Disease, Internal MedicineMA
Internal MedicineMA
Diagnostic Radiology, Internal MedicineRI
Nurse PractitionerMA
Internal MedicineMA
Physician AssistantMA
-MA
Internal MedicineMA

Reviews

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Frequently asked questions

How is BRENNA GRACE MAYNARD-WHITE (NP) identified in CMS data?
CMS-hosted NPPES data lists BRENNA GRACE MAYNARD-WHITE (NP) with NPI 1942817689.
Is BRENNA GRACE MAYNARD-WHITE (NP) still practicing?
BRENNA GRACE MAYNARD-WHITE (NP) is currently listed as active in the public NPI registry.
What taxonomy line describes BRENNA GRACE MAYNARD-WHITE (NP)?
For research purposes, treat BRENNA GRACE MAYNARD-WHITE (NP) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for BRENNA GRACE MAYNARD-WHITE (NP)?
BRENNA GRACE MAYNARD-WHITE (NP)'s geographic hint is Kingston, Rhode Island in our summary view.
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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