Individual provider Active NPI

Jared Robert Brandt, PA-C

  • Medical Physician Assistant
  • Reno, NV
National Provider Identifier
1073587440
Registry record updated Sep 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA898 Issued in NV
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

Updated by the provider on Sep 12, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100505905MedicaidNV

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050520001034 NV Practitioner - Physician Assistant 9234170069 Reassigns benefits to 2 organizations

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
K Sasse Surgical Associates, Professional CorporationGroup PAC ID 4880846138, 6 clinicians

Practice addresses (Care Compare)

75 Pringle Way
Suite 804
Reno, NV 89502-8400
Phone (775) 829-7999

Hospital & facility affiliations

  • Renown Regional Medical Center Hospital, Reno, NV, CCN 290001

Merit-based Incentive Payment System (MIPS)

Final score
90.71 of 100Reported as apm
Quality
81.42
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA898NVMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sage Surgical & Neuromodulation LLC CurrentSince Aug 15, 2025 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/CCDFDD/Endpoint/CCDFDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/GBBACD/Endpoint/GBBACD
  • Direct secure messaging: 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.