Individual provider Active NPI

Jenna Brown, PA-C

  • Physician Assistant
  • Columbus, OH
National Provider Identifier
1275248809
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.007940RX Issued in OH
Practice address
92 Northwoods Blvd Ste C2
Columbus, OH 43235-4720
Phone
(614) 841-9763
NPI assigned
Jan 18, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.007940RX OH Primary

Addresses

Primary practice location

92 Northwoods Blvd Ste C2
Columbus, OH 43235-4720

Mailing address

92 Northwoods Blvd Ste C2
Columbus, OH 43235-4720
Phone (614) 841-9763

Other names 1

  • Jenna Jacobs Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20230918002768 OH Practitioner - Physician Assistant 8921462342 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oakview DermatologyGroup PAC ID 1254408610, 31 clinicians

Practice addresses (Care Compare)

2111 E State St
Athens, OH 45701-2138
Phone (740) 566-4621

2405 N Columbus St
Suite 100
Lancaster, OH 43130-8189
Phone (614) 908-1339

5175 Morse Rd
Suite 100
Gahanna, OH 43230-3458
Phone (614) 454-4808

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50.007940RXOHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Northwoods Clinic, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jennabrown@oakviewderm.emadirect.md

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.

NPI Registry JSON

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

{
    "created_epoch": "1674000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1275248809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 NORTHWOODS BLVD STE C2",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432354720",
            "telephone_number": "614-841-9763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 NORTHWOODS BLVD STE C2",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432354720",
            "telephone_number": "614-841-9763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JENNA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-18",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.007940RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "JACOBS",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.