Individual provider Active NPI

Madjeanna Brutus, PA-C

  • Medical Physician Assistant
  • Monticello, NY
National Provider Identifier
1356129191
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
030958 Issued in NY
Practice address
38 Concord Rd
Monticello, NY 12701-3210
Phone
(845) 333-6500
Fax
(845) 333-6501
NPI assigned
Sep 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 030958 NY Primary

Addresses

Primary practice location

38 Concord Rd
Monticello, NY 12701-3210

Mailing address

38 Concord Rd
Monticello, NY 12701-3210
Phone (845) 333-6500

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mbrutus73916@direct.garnethealth.org Direct Garnet Health Doctors PC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20240518000362 NY Practitioner - Physician Assistant 2961843115 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
030958NYMDOccupational Therapist

Practice roles (2 of 6)

OrganizationSpecialtyStatusNew patients
Premier Medical Group of the Hudson Valley, P.C. CurrentSince Nov 10, 2025 Accepting new patients
Premier Medical Group of the Hudson Valley P.C. CurrentSince Nov 10, 2025 Accepting new patients

Locations

955 Little Britain Rd
Newburgh, NY 12553
Phone (845) 437-5000

243 North Rd
Ste 304
Poughkeepsie, NY 12601
Phone (845) 451-7251

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: mbrutus@premiermedicalhv.medentdirect.com
  • Direct secure messaging: mbrutus73916@direct.garnethealth.org

Organizations & group practices 5

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 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Garnet Health Doctors PC 165 clinicians
Premier Medical Group of the Hudson Valley PC 134 clinicians

Practice addresses (Care Compare)

38 Concord Rd
Monticello, NY 12701-3210
Phone (845) 333-6500

68 Harris Bushville Rd
Harris, NY 12742
Phone (845) 333-8909

955 Little Britain Rd
New Windsor, NY 12553-7354
Phone (845) 437-5000

Hospital & facility affiliations

  • Garnet Health Medical Center Catskills Hospital, Harris, NY, CCN 330386

NPI Registry JSON

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

{
    "created_epoch": "1695254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1356129191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 CONCORD RD",
            "city": "MONTICELLO",
            "state": "NY",
            "postal_code": "127013210",
            "telephone_number": "845-333-6500",
            "fax_number": "845-333-6501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 CONCORD RD",
            "city": "MONTICELLO",
            "state": "NY",
            "postal_code": "127013210",
            "telephone_number": "845-333-6500",
            "fax_number": "845-333-6501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUTUS",
        "first_name": "MADJEANNA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-21",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "030958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mbrutus73916@direct.garnethealth.org",
            "affiliation": "Y",
            "affiliationName": "Garnet Health Doctors PC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "38 Concord Rd",
            "city": "Monticello",
            "state": "NY",
            "country_code": "US",
            "postal_code": "127013210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Monticello, NY

Sources for this page

Verify at the official NPI Registry.