Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brandi Marie Peroney, AGACNP

Individual provider Acute Care Nurse Practitioner · NPI 1376144543

Brandi Marie Peroney, AGACNP is a Nurse Practitioner in Santa Rosa, California. Qualified in 2020, 6 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2020

Practice location Address checks out

1165 Montgomery Dr
Santa Rosa, CA 95405-4897
Phone: (707) 525-5300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 95015846 (CA)

Record details

NPI number1376144543
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP
Sole proprietorNo
NPI enumeratedNovember 4, 2020
Last updated in NPPESNovember 4, 2020
Certification dateAugust 31, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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