Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 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
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

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

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients54
Services billed 122 a service is one billed item, such as a visit, a test or a procedure
Average patient age82

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Ennoble Hc Dmv LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 111 clinicians in the practice; 12 are shown here.

Other providers in Arlington