MR. CASEY BRENNAN – Family Nurse Practitioner, NPI 1265900260
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,303 NURSE PRACTITIONER in VA
Provider Addresses for MR. CASEY BRENNAN
4723 Archduke Rd
Glen Allen, VA 230603646
Phone: (804) 402-1066
Type: Location
Southside Regional Medical Center, 200, Medical Park Boulevard, Pinehill Plaza, Lakewood, Petersburg, Virginia, 23805, United States
PETERSBURG, VA 238059274
Phone: (804) 765-5000
Fax: (804) 765-5521
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: 2019-03-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190312002375 | I | Nurse Practitioner | VA | 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 |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 97 | 93 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 33 | 33 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 20 | 19 | $0 |
Insurance plans in this area (ZIP 23060)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | MD | |
| Emergency Medicine | VA | |
| Emergency Medicine | VA | |
| Emergency Medicine | LA | |
| Emergency Medicine | VA | |
| Emergency Medicine | MD | |
| - | VA | |
| Emergency Medicine | MD | |
| Emergency Medicine | MI | |
| Emergency Medicine | MI |
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