Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
IMPACT RN PLLC
Active
Organization
IMPACT RN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA MICKENS MSN, RN (OWNER/MANAGING MEMBER)
(631) 767-9090
Entity
Organization
Contact information
Practice address
167 MERRILL ST., BRENTWOOD, NY 11717
(631) 767-9090
(270) 837-7593
Mailing address
248 ROUTE 25A STE 3034, EAST SETAUKET, NY 11733-2954
(631) 819-3094
(270) 837-7593
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
—
Other
Enumeration date
12/04/2025
Last updated
12/17/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up