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Deactivated NPI 1750896130 Deactivated / Inactive NPI Female Practitioner

Kellie Brennan , RN

Registered Nurse • Wheaton, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kellie Brennan has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 07, 2017
NPI Deactivation Date March 10, 2022
Total Practice Duration ~5 Years of Practice (2017 – 2022)

Professional Overview & Biography Verified Profile Summary

Kellie Brennan, RN was a registered Registered Nurse practicing in Wheaton, IL. Throughout an active medical career spanning 5 years, Kellie Brennan provided care at the practice location at 111 N COUNTY FARM RD until profile deactivation on 2022-03-10.

Practice Location & Contact Primary Location

Practice Address

111 N County Farm Rd

Wheaton, IL 601873977

Telephone 6306827400
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Registered Nurse in Wheaton, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 2.0 Yrs
State Avg: 8.4 Yrs
Regional Practice Density
103 Specialists

Practicing in Wheaton, IL (2714 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Registered Nurse Primary Specialty

NUCC Taxonomy Code: 163W00000X

State License IL 041456527

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Amy Bossman , BA

Counselor - Mental Health

NPI 1003189143

Bachelor of Arts

Angela Miller

Case Manager/Care Coordinator

NPI 1003283953
NPI 1003292178
Emily Bernas

Registered Nurse

NPI 1003394230
Megan Bucher

Case Manager/Care Coordinator

NPI 1003496431
Janet Rodriguez

Case Manager/Care Coordinator

NPI 1003535048

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 10, 2022

Record deactivated on March 10, 2022

NPI Profile Active December 07, 2017

NPI status registered as active in NPPES database

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Updated Practice Location December 07, 2017

Registered at 111 N COUNTY FARM RD, WHEATON, IL 601873977 (Tel: 6306827400)

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Updated Business Mailing Address December 07, 2017

Registered at 111 N COUNTY FARM RD, WHEATON, IL 601873977

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Provider Name / Credentials Updated December 07, 2017

Recorded as KELLIE BRENNAN, RN

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 07, 2017

Registered Nurse (License #041456527 in IL)

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Initial NPI Registration & Enumeration December 07, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1750896130
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 07, 2017
Last Update: December 07, 2017
Deactivation Date: March 10, 2022

Mailing Address

111 N County Farm Rd

Wheaton, IL 601873977

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.