NICHOLAS BRENNY (PA-C) – Physician Assistant, NPI 1730364142

NICHOLAS BRENNY (PA-C) is a healthcare provider. based in Colchester, Vermont. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 055-0030894 (VT). The NPI Number for NICHOLAS BRENNY (PA-C) is 1730364142

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
NICHOLAS BRENNY (PA-C)
NPI
1730364142
Phone
(802) 497-1165
Address
151 PRETTY RD
Enumeration Date
3 January 2008
Last Update Date
15 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8028640192
Graduation Year
2006 (20 years ago)
PAC ID
9335225549
Group Practice PAC ID
4688011992
Professional Enrollment ID
I20080328000249
Address ID
VT054465988CO354XXDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience79
Completeness75
Years active:18State licenses:2Digital endpointsOther names

385 PHYSICIAN ASSISTANT in VT

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Provider Addresses for NICHOLAS BRENNY (PA-C)

  • 151, Pretty Road, Colchester, Chittenden County, Vermont, 05446, United States

    COLCHESTER, VT 054469610

    Phone: (802) 497-1165

    Type: Mailing

  • University of Vermont Medical Center, 111, Colchester Avenue, Burlington, Chittenden County, Vermont, 05401, United States

    BURLINGTON, VT 054011473

    Phone: (802) 847-3790

    Type: Location

  • 354 MOUNTAIN VIEW DR STE 300

    COLCHESTER, VT 054465988

    Phone: (802) 864-0192

    Fax: (802) 860-4919

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2008-03-28

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
I20080328000249IPhysician AssistantVTTBD

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 05446)

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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: 4688011992View full group profile
NameSpecialtyState
D E R M A T O L O G YVT
Physician AssistantVT
Physician AssistantVT
D E R M A T O L O G YVT
D E R M A T O L O G YNY
D E R M A T O L O G YFL
Nurse PractitionerVT
D E R M A T O L O G YCT
D E R M A T O L O G YGA
Physician AssistantVT

Reviews

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Frequently asked questions

How do payers reference NICHOLAS BRENNY (PA-C)?
For NICHOLAS BRENNY (PA-C), use NPI 1730364142 as the unique 10-digit identifier.
Is NICHOLAS BRENNY (PA-C) shown as active in public data?
Registry records indicate NICHOLAS BRENNY (PA-C) maintains an active NPI.
What clinical focus is listed for NICHOLAS BRENNY (PA-C)?
At a glance, NICHOLAS BRENNY (PA-C) is tied to Physician Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with NICHOLAS BRENNY (PA-C)?
Directory geography for NICHOLAS BRENNY (PA-C) centers on Colchester, Vermont.
Does NICHOLAS BRENNY (PA-C) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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