OrganizationActive
Impact RN PLLC
NPI 1952264152 · Registered Nurse · Brentwood, NY
Impact RN PLLC is a Registered Nurse organization in Brentwood, NY (NPI 1952264152).
Provider details
- NPI number
- 1952264152
- Entity type
- Organization
- Primary specialty
- Registered NurseNursing Service Providers
- Organization subpart
- No
- Authorized official
- Brenda Mickens, Owner/Managing Member(631) 767-9090
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
167 Merrill St.
Brentwood, NY 11717
Phone: (631) 767-9090
Fax: (270) 837-7593
Street-level locationGet directions
Mailing address
248 Route 25a Ste 3034
East Setauket, NY 11733-2954
Registry dates
- Enumerated
- 2025-12-04
- Last updated
- 2025-12-17
- Certified
- 2025-12-17
Frequently asked questions
- What is Impact RN PLLC's NPI number?
- Impact RN PLLC's National Provider Identifier (NPI) is 1952264152, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Impact RN PLLC?
- Impact RN PLLC is classified in the NPPES registry as Registered Nurse (Nursing Service Providers).
- Where is Impact RN PLLC located?
- Impact RN PLLC's practice location on file with NPPES is 167 Merrill St., Brentwood, NY 11717.
- What is Impact RN PLLC's phone number?
- The practice phone number listed in the NPPES registry for Impact RN PLLC is (631) 767-9090.
- Who is the authorized official for Impact RN PLLC?
- The authorized official listed on Impact RN PLLC's NPPES record is Brenda Mickens, Owner/Managing Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Impact RN PLLC's NPI active?
- Yes — Impact RN PLLC's NPI (1952264152) is active in the NPPES registry as of the last update on 2025-12-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.