IndividualActive
Donna Brenenstall, APN
NPI 1407817422 · Nurse Practitioner · Peoria, IL
Provider details
- NPI number
- 1407817422
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APN
- Sex
- Female
- Sole proprietor
- No
- License
- 209001128 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5401 N Knoxville Ave Ste 114
Peoria, IL 61614-5091
Phone: (309) 689-8477
Fax: (309) 683-0201
Street-level locationGet directions
Mailing address
5401 N Knoxville Ave Ste 114
Peoria, IL 61614-5091
Registry dates
- Enumerated
- 2006-03-29
- Last updated
- 2023-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.