Individual provider Active NPI

Jennifer M Briner, PA-C

  • Physician Assistant
  • Tucson, AZ
National Provider Identifier
1376904888
Registry record updated Apr 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
6310 Issued in AZ
Practice address
8580 N Oracle Rd Ste 140
Tucson, AZ 85704-6553
Phone
(520) 704-7546
Fax
(520) 704-6767
NPI assigned
Mar 10, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2022

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 6310 AZ Primary

Addresses

Primary practice location

8580 N Oracle Rd Ste 140
Tucson, AZ 85704-6553

Mailing address

8580 N Oracle Rd Ste 140
Tucson, AZ 85704-6553
Phone (520) 704-7546

Other practice location 1

2732 N Alvernon Way
Tucson, AZ 85712-1804
Phone (520) 382-3330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20160727000506 AZ Practitioner - Physician Assistant 6204129364 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
Avant Dermatology and Aesthetics PLLCGroup PAC ID 9234562455, 3 clinicians

Practice addresses (Care Compare)

8580 N Oracle Rd
Suite 140
Oro Valley, AZ 85704-6512
Phone (520) 704-7546

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6310AZMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Avant Dermatology & Aesthetics PLLC CurrentSince Apr 1, 2022 Accepting new patients
Arizona Endovascular Center PLLC PastSince Nov 1, 2007 Accepting new patients

Locations

8580 N Oracle Rd
Oro Valley, AZ 85704
Phone (954) 961-1200

8580 N Oracle Rd
Ste 140
Tucson, AZ 85704
Phone (520) 704-7546

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.61209
  • FHIR API: https://app.meldrx.com/api/fhir/ez_00024

Organizations & group practices 2

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": "1457568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649030400000",
    "number": "1376904888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8580 N ORACLE RD STE 140",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857046553",
            "telephone_number": "520-704-7546",
            "fax_number": "520-704-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8580 N ORACLE RD STE 140",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857046553",
            "telephone_number": "520-704-7546",
            "fax_number": "520-704-6767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2732 N Alvernon Way",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857121804",
            "country_code": "US",
            "telephone_number": "520-382-3330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRINER",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-10",
        "last_updated": "2022-04-04",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "6310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.