Individual provider Active NPI

Brittany Denue, PA-C

  • Physician Assistant
  • La Jolla, CA
National Provider Identifier
1346600350
Registry record updated Dec 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
53249 Issued in CA
Practice address
7509 Draper Ave Ste a
La Jolla, CA 92037-4857
Phone
(858) 683-8118
NPI assigned
Mar 3, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2023

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 53249 CA Primary

Addresses

Primary practice location

7509 Draper Ave Ste a
La Jolla, CA 92037-4857

Mailing address

44311 Monterey Ave
Palm Desert, CA 92260-2710
Phone (760) 773-6616

Other practice location 1

44311 Monterey Ave
Palm Desert, CA 92260-2710
Phone (760) 773-6616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20160418002427 CA Practitioner - Physician Assistant 4789982133 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Natalie Driessen MD IncGroup PAC ID 0446481360, 10 clinicians

Practice addresses (Care Compare)

44311 Monterey Ave
Palm Desert, CA 92260-2710
Phone (760) 773-6616

7509 Draper Ave
Suite a
La Jolla, CA 92037-4857
Phone (858) 683-8118

Merit-based Incentive Payment System (MIPS)

Final score
83.69 of 100Reported as group
Quality
80.41
Improvement activities
40
Cost
71.77

National Provider Directory

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

Organizations & group practices 1

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": "1456963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1346600350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44311 MONTEREY AVE",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922602710",
            "telephone_number": "760-773-6616",
            "fax_number": "760-773-6618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7509 DRAPER AVE STE A",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374857",
            "telephone_number": "858-683-8118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44311 Monterey Ave",
            "address_purpose": "LOCATION",
            "city": "Palm Desert",
            "state": "CA",
            "postal_code": "922602710",
            "country_code": "US",
            "telephone_number": "760-773-6616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DENUE",
        "first_name": "BRITTANY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-03",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "53249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

Verify at the official NPI Registry.