Brooke L Jennings

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

135 E Rich Blvd
Elizabeth City, NC 27909-5518

Phone

(252) 333-1277

Fax

(252) 333-1877

NPI assigned

Oct 12, 2016

Last updated

Aug 1, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Physician Assistant

Education

Lincoln Mem Univ, Debusk Col of Osteopathic Med, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vidant Medical Group LLCGroup PAC ID 0345343893, 986 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Vidant Chowan Hospital Hospital, Edenton, NC, CCN 341318

Merit-based Incentive Payment System (MIPS)

Final score

80.16 of 100Reported as group

Quality

63.91

Improvement activities

40

Cost

81.97

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bjennings@crapsp-nc.direct.office.nextgen.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vidant Medical Group LLC

  • Multi-Specialty Clinic/Center
  • Greenville, NC
  • NPI 1477648731
  Medicare reassignment Care Compare group NPD
• Comprehensive Rehabilitation & Pain Specialists, P.C.

  • Physical Medicine & Rehabilitation Physician
  • Elizabeth City, NC
  • NPI 1578747077
  Medicare reassignment

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

• East Carolina Health - Chowan Inc

  dba ECU Health Chowan Hospital

  • Critical Access Hospital
  • Edenton, NC
  • NPI 1477541183
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1476230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659312000000",
    "number": "1083164222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 E RICH BLVD",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279095518",
            "telephone_number": "252-333-1277",
            "fax_number": "252-333-1877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 E RICH BLVD",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279095518",
            "telephone_number": "252-333-1277",
            "fax_number": "252-333-1877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "BROOKE",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-12",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bjennings@CRaPSP-NC.direct.office.nextgen.com",
            "affiliation": "Y",
            "affiliationName": "Comprehensive Rehabilitation & Pain Specialists, P.C.",
            "address_1": "135 E Rich Blvd",
            "city": "Elizabeth City",
            "state": "NC",
            "country_code": "US",
            "postal_code": "279095518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Magan Jackson
• Margaret Denise Jackson
• Christina Jamieson, NP
• Jan McDonald, M.D. (McDONALD DERMATOLOGY)
• Jason a. Banks, D.D.S., P.a.
• Courtney Williams Jennings, PHARM D.
• JK2C, LLC (Elizabeth City Treatment Center)
• Courtney Johnson
• Gemini Jewel Johnson, MSW, LCSW
• Kiera Johnson, PHARMD

• Physician Assistant in Elizabeth City, NC
• Providers in Elizabeth City, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; 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.

Verify at the official NPI Registry.