Look up the most recent NPI and PECOS records

Kaitlyn Brenner

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Kaitlyn Brenner is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1942671201
Provider Type
Individual
Full Name
Brenner, Kaitlyn
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
10/13/2015
Last Updated
12/21/2022

Contact Information

Practice Location

3500 Tower Ave, Superior, WI 54880-4491

(715) 817-7100

(715) 817-7039

Mailing Location

1702 University Dr S, Fargo, ND 58103-4940

(701) 364-4999

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 2348 Minnesota
Code 363A00000X	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 7142 Wisconsin

Kaitlyn Brenner

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Rajaguru, Labutale Walawwe

Laflamme, Amy Marie

Wennersten, Adam M

Fisker, Erin Lee

Ferguson, Jay Michael

Salmela, Cord Thomas

Kunze, Zoe

Karl, Sarah Lynn

Potter, James G

Greiner, Anna Charlotte