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

Renee Brack

Individual provider Family Nurse Practitioner · NPI 1790293215

Renee Brack is a Nurse Practitioner in Arlington, Virginia. Graduated from Georgetown University School of Medicine in 2017, 9 years ago. Practices with Ennoble Hc Dmv LLC, a 111-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in North Carolina and Virginia.

Years since qualifying
9
Trained at
Georgetown University School of Medicine
Licensed in
NC, VA
In the registry since
2018
Specialties on file
3
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Practice location Address checks out

1101 Wilson Blvd Ste 900
Arlington, VA 22209-2248
Phone: (551) 224-4546
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 39 V St Ne, Washington, DC 20002-1329 — (551) 295-8223
  • 50 Glenlake Pkwy Ste 420, Sandy Springs, GA 30328-3489 — (551) 295-8223
  • 20130 Lakeview Center Plz Ste 400, Ashburn, VA 20147-5905 — (551) 295-8223

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0024191377 (VA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 5010222 (NC)
Registered Nurse Taxonomy 163W00000X · Licence 261868 (NC)

Record details

NPI number1790293215
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 18, 2018
Last updated in NPPESSeptember 12, 2025
Certification dateSeptember 12, 2025
Mailing address2 University Plz Ste 204, Hackensack, NJ 07601-6211

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolGEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Ennoble Hc Dmv Llc — 111 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Arlington