Active NPI
Jessica Brysky, PA-C
- Physician Assistant
- Andover, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 12917
- Practice address
- 15245 Bluebird St NW
Andover, MN 55304-3538 - Phone
- (763) 587-4688
- NPI assigned
- Feb 2, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 12917 | MN | Primary |
Addresses
Primary practice location
15245 Bluebird St NW
Andover, MN 55304-3538
Mailing address
9762 Sage Grove CT
Las Vegas, NV 89148-5733
Phone (651) 717-8472
Other practice location 1
2621 Greenhaven Rd
Anoka, MN 55303-5566
Phone (763) 587-4400
Other practice location 2
1900 Centracare Cir Ste 500
Saint Cloud, MN 56303-5000
Phone (509) 932-0229
Other practice location 3
530 3rd St NW
Elk River, MN 55330-1445
Phone (763) 587-4688
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190530002162 | MN | Practitioner - Physician Assistant | 4486997772 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1200 6TH Ave N
Saint Cloud, MN 56303-2735
1200 6TH N Ave
Saint Cloud, MN 56303-2735
Phone (320) 252-5131
1900 Centracare Cir
Saint Cloud, MN 56303-5000
Hospital & facility affiliations
- Centracare - St. Cloud Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centracare Clinic | Current | Accepting new patients | |
| Centracare Clinic | Current | Accepting new patients | |
| Centracare Clinic | Past | Accepting new patients |
Locations
1900 Centracare Cir
Ste 500
Saint Cloud, MN 56303
Phone (320) 229-5099
1200 6th Ave N
Saint Cloud, MN 56303
Phone (320) 252-3342
1900 Centracare Cir
Saint Cloud, MN 56303
Phone (320) 252-2422
Interoperability endpoints
- jbrysky459864@direct.centracare.com
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.
-
- Occupational Medicine Clinic/Center
- Saint Cloud, MN
- NPI 1366192759
-
- Multi-Specialty Clinic/Center
- Saint Cloud, MN
- NPI 1407858020
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Saint Cloud, MN
- NPI 1811150618
Hospital
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Saint Cloud, MN
- NPI 1467615294
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690156800000",
"number": "1285199307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9762 SAGE GROVE CT",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891485733",
"telephone_number": "651-717-8472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15245 BLUEBIRD ST NW",
"city": "ANDOVER",
"state": "MN",
"postal_code": "553043538",
"telephone_number": "763-587-4688"
}
],
"practiceLocations": [
{
"address_1": "2621 Greenhaven Rd",
"address_purpose": "LOCATION",
"city": "Anoka",
"state": "MN",
"postal_code": "553035566",
"country_code": "US",
"telephone_number": "763-587-4400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1900 Centracare Cir Ste 500",
"address_purpose": "LOCATION",
"city": "Saint Cloud",
"state": "MN",
"postal_code": "563035000",
"country_code": "US",
"telephone_number": "509-932-0229",
"fax_number": "502-320-5022",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "530 3rd St NW",
"address_purpose": "LOCATION",
"city": "Elk River",
"state": "MN",
"postal_code": "553301445",
"country_code": "US",
"telephone_number": "763-587-4688",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRYSKY",
"first_name": "JESSICA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-02",
"last_updated": "2023-07-24",
"certification_date": "2023-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MN",
"license": "12917",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Andover, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.