Active NPI
Jared Robert Brandt, PA-C
- Medical Physician Assistant
- Reno, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA898
- Practice address
- 75 Pringle Way
Suite 1002
Reno, NV 89502-1464 - Phone
- (775) 326-9132
- Fax
- (775) 336-3345
- NPI assigned
- Feb 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA898 | NV | Primary |
| Surgical Physician Assistant | 363AS0400X | PA898 | NV |
Addresses
Primary practice location
75 Pringle Way
Suite 1002
Reno, NV 89502-1464
Mailing address
75 Pringle Way
Suite 804
Reno, NV 89502-1464
Phone (775) 829-7999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100505905 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
75 Pringle Way
Suite 804
Reno, NV 89502-8400
Phone (775) 829-7999
Hospital & facility affiliations
- Renown Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.71 of 100
- Quality
- 81.42
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA898 | NV | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sage Surgical & Neuromodulation LLC | Current | Accepting new patients |
Locations
5500 Reno Corporate Dr
Ste 100
Reno, NV 89511
Phone (775) 771-2804
5500 Reno Corporate Dr
Ste 200
Reno, NV 89511
Phone (775) 900-8844
5500 Reno Corporate Dr
Reno, NV 89511
Phone (775) 451-3673
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CCDFDD/Endpoint/CCDFDD
- https://fhir4.healow.com/fhir/r4/GBBACD/Endpoint/GBBACD
- jared.brandt@kssa.eclinicaldirectplus.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgery Physician
- Reno, NV
- NPI 1013271857
-
- Ambulatory Surgical Clinic/Center
- Reno, NV
- NPI 1427810274
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Reno, NV
- NPI 1124098421
-
- General Acute Care Hospital
- Sparks, NV
- NPI 1932517299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347408000000",
"number": "1073587440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 PRINGLE WAY",
"address_2": "SUITE 804",
"city": "RENO",
"state": "NV",
"postal_code": "895021464",
"telephone_number": "775-829-7999",
"fax_number": "775-829-7970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 PRINGLE WAY",
"address_2": "SUITE 1002",
"city": "RENO",
"state": "NV",
"postal_code": "895021464",
"telephone_number": "775-326-9132",
"fax_number": "775-336-3345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANDT",
"first_name": "JARED",
"middle_name": "ROBERT",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-14",
"last_updated": "2012-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NV",
"license": "PA898",
"primary": true
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NV",
"license": "PA898",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100505905",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.