Individual provider Active NPI

Jessica Rae Brookshire

  • Physician Assistant
  • Pisgah Forest, NC
National Provider Identifier
1093321846
Registry record updated Jun 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-10891 Issued in NC
Practice address
45 Hendersonville Hwy
Pisgah Forest, NC 28768-9296
Phone
(828) 435-8100
NPI assigned
Sep 17, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X 0010-10891 NC Primary

Addresses

Primary practice location

45 Hendersonville Hwy
Pisgah Forest, NC 28768-9296

Mailing address

45 Hendersonville Hwy
Ste a
Pisgah Forest, NC 28768-8895
Phone (828) 435-8100

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210419001991 NC Practitioner - Physician Assistant 4789092404 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henderson County Urgent Care Center IncGroup PAC ID 2466407572, 25 clinicians

Practice addresses (Care Compare)

212 Thompson St
Suite a
Hendersonville, NC 28792-2895
Phone (828) 697-3232

3334 Boylston Hwy
Suite 10
Mills River, NC 28759-4103
Phone (828) 694-8100

45 Hendersonville Hwy
Pisgah Forest, NC 28768-8895
Phone (828) 435-8100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0010-10891NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Henderson County Hospital Corp CurrentSince Sep 30, 2024 Accepting new patients
Henderson County Hospital Corporation CurrentSince Sep 30, 2024 Accepting new patients
Henderson County Hospital Corporation Single Specialty PastSince Apr 20, 2021 Accepting new patients

Locations

21 Turtle Creek Dr
Ste 100
Asheville, NC 28803
Phone (828) 435-8394

800 N Justice St
Hendersonvlle, NC 28791
Phone (828) 696-1000

45 Hendersonville Hwy
Pisgah Forest, NC 28768
Phone (828) 212-7022

45 Hendersonville Hwy
Ste A
Pisgah Forest, NC 28768
Phone (828) 435-8100

Interoperability endpoints

  • Direct secure messaging: jbrookshire561978@direct.unc.nchie.net

Organizations & group practices 4

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 1

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": "1600300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1093321846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 HENDERSONVILLE HWY",
            "address_2": "STE A",
            "city": "PISGAH FOREST",
            "state": "NC",
            "postal_code": "287688895",
            "telephone_number": "828-435-8100",
            "fax_number": "828-435-8401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 HENDERSONVILLE HWY",
            "city": "PISGAH FOREST",
            "state": "NC",
            "postal_code": "287689296",
            "telephone_number": "828-435-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKSHIRE",
        "first_name": "JESSICA",
        "middle_name": "RAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-17",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-10891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pisgah Forest, NC

Sources for this page

Verify at the official NPI Registry.