Individual provider Active NPI

Brianna Shelton Jett, FNP-C

  • Family Nurse Practitioner
  • Bowling Green, VA
National Provider Identifier
1083444632
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F01250466 Issued in VA
Practice address
121 Courthouse LN
Bowling Green, VA 22427-9336
Phone
(804) 633-5840
NPI assigned
Aug 7, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F01250466 VA Primary

Addresses

Primary practice location

121 Courthouse LN
Bowling Green, VA 22427-9336

Mailing address

332 McCarty Rd
Fredericksburg, VA 22405-5709
Phone (540) 419-7839

Other names 1

  • Brianna Shelton Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20250410000817 VA Practitioner - Nurse Practitioner 9133643208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

121 Courthouse LN
Bowling Green, VA 22427-9336
Phone (804) 633-5840

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F01250466VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Washington Healthcare Physicians CurrentSince Apr 11, 2025 Accepting new patients
Mary Washington Healthcare Physicians CurrentSince Apr 11, 2025 Accepting new patients
Pathology Associates of Fredericksburg PTR Current Accepting new patients

Locations

121 Courthouse Ln
Bowling Green, VA 22427
Phone (804) 633-1232

10401 Spotsylvania Ave
Fredericksburg, VA 22408
Phone (540) 741-0590

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

Organizations & group practices 3

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 3

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": "1722988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1083444632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 MCCARTY RD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224055709",
            "telephone_number": "540-419-7839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 COURTHOUSE LN",
            "city": "BOWLING GREEN",
            "state": "VA",
            "postal_code": "224279336",
            "telephone_number": "804-633-5840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JETT",
        "first_name": "BRIANNA",
        "middle_name": "SHELTON",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-07",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "F01250466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIANNA",
            "last_name": "SHELTON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bowling Green, VA

Sources for this page

Verify at the official NPI Registry.