Individual provider Active NPI

Jamie Brantley, NP

  • Family Nurse Practitioner
  • Fredericksburg, VA
National Provider Identifier
1295361871
Registry record updated Mar 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024178729 Issued in VA
Practice address
1300 Hospital Dr Ste 300
Fredericksburg, VA 22401-8451
Phone
(540) 656-2830
NPI assigned
Mar 16, 2020
Last updated
Mar 16, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2020

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 0024178729 VA Primary

Addresses

Primary practice location

1300 Hospital Dr Ste 300
Fredericksburg, VA 22401-8451

Mailing address

11620 Rutherford Dr
Fredericksburg, VA 22407-6499
Phone (540) 760-4807

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
I20200731000059 VA Practitioner - Nurse Practitioner 7416372933 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1300 Hospital Dr
Suite 300
Fredericksburg, VA 22401-8451
Phone (540) 656-2830

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Washington Healthcare Physicians CurrentSince Apr 27, 2020 Accepting new patients
Signify Health, LLC CurrentSince Feb 1, 2025 Accepting new patients
Mary Washington Healthcare Physicians CurrentSince Apr 27, 2020 Accepting new patients

Locations

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

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

1101 Sam Perry Blvd
Ste 314
Fredericksburg, VA 22401
Phone (540) 374-3200

1300 Hospital Dr
Ste 202
Fredericksburg, VA 22401
Phone (540) 656-2830

1300 Hospital Dr
Ste 300
Fredericksburg, VA 22401
Phone (540) 373-4700

1806 Summit Ave
Richmond, VA 23230
Phone (804) 352-2487

Interoperability endpoints

  • Direct secure messaging: jbrantley12859@marywashingtonhealthcare.direct-ci.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1584316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584316800000",
    "number": "1295361871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11620 RUTHERFORD DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224076499",
            "telephone_number": "540-760-4807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 HOSPITAL DR STE 300",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224018451",
            "telephone_number": "540-656-2830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANTLEY",
        "first_name": "JAMIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-16",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024178729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.