BRENTON ROBINSON (FNP-C) – Family Nurse Practitioner, NPI 1205382454

BRENTON ROBINSON (FNP-C) is a healthcare provider. based in Tyler, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. AP131630 (TX). The NPI Number for BRENTON ROBINSON (FNP-C) is 1205382454

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
BRENTON ROBINSON (FNP-C)
NPI
1205382454
Phone
Not provided
Address
1100 EAST LAKE ST
Enumeration Date
28 August 2016
Last Update Date
17 December 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7692436141
Graduation Year
2016 (10 years ago)
PAC ID
9830487420
Group Practice PAC ID
5698038610
Professional Enrollment ID
I20161014000376
Address ID
TX756016546LO515XXSTXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for BRENTON ROBINSON (FNP-C)

  • 1100 EAST LAKE ST

    160

    TYLER, TX 75701

    Phone:

    Type: Mailing

  • 3002 MOORES LN

    TEXARKANA, TX 755032204

    Phone: (430) 200-4350

    Fax: (833) 491-2722

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $89.

Total Amount is formed as General ($89) + Research ($0) + Ownership ($0) = $89.

Last reported payment date: 2023-11-13 • Largest payer in this snapshot: Smith+Nephew, Inc. ($70).

Total Amount

$89

General + Research + Ownership

Payments

5

Total payment records

General Amount

$89

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-13

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: 2016-10-14

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
I20161014000376INurse PractitionerTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75701)

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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: 5698038610View full group profile
NameSpecialtyState
Nurse PractitionerMS
Nurse PractitionerMS
Nurse PractitionerTN
Nurse PractitionerLA
Nurse PractitionerMS
Nurse PractitionerLA
Nurse PractitionerTX
Nurse PractitionerMS
Nurse PractitionerMS
Nurse PractitionerLA

Reviews

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Frequently asked questions

What unique ID ties claims to BRENTON ROBINSON (FNP-C)?
NPI 1205382454 is assigned to BRENTON ROBINSON (FNP-C) under the national enumeration system.
Does this profile mean BRENTON ROBINSON (FNP-C) is currently active?
Yes — BRENTON ROBINSON (FNP-C) appears active in the national provider directory.
Does BRENTON ROBINSON (FNP-C) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for BRENTON ROBINSON (FNP-C). Clinical services aligned with this taxonomy classification.
Where is BRENTON ROBINSON (FNP-C)'s primary listing?
We display Tyler, Texas because that is what the record indicates for BRENTON ROBINSON (FNP-C).
What if Tyler, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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