NPIMap

Individual provider Active NPI

Brandee Danks, PA

  • Physician Assistant
  • Medford, OR
National Provider Identifier
1437145265
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA01010 Issued in OR
Practice address
3617 S Pacific Hwy
Medford, OR 97501-8957
Phone
(541) 535-6239
Fax
(541) 535-4377
NPI assigned
Sep 27, 2005
Sex
Female
Sole proprietor
No

Organizations & group practices 18

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.

View all 18

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, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford Health Network North 114 clinicians

Practice addresses (Care Compare)

407 Washington Ave E
Finley, ND 58230-3031
Phone (701) 524-1005

600 1St St SE
Mayville, ND 58257-1518
Phone (701) 788-4500

Hospital & facility affiliations

  • Sanford Mayville Hospital, Mayville, ND, CCN 351309

Merit-based Incentive Payment System (MIPS)

Final score
90.22 of 100Reported as group
Quality
90.28
Promoting interoperability
100
Improvement activities
40
Cost
72.7

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VI, ND2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120606000488 VI Practitioner - Physician Assistant 4688615610 Reassigns benefits to 1 organization
I20161114001252 ND Practitioner - Physician Assistant 4688615610 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA01010ORMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince Apr 29, 2012 Accepting new patients
Sanford Health Network North CurrentSince Mar 3, 2018 Accepting new patients

Locations

4007 Estate Diamond Ruby
St Croix, VI 00820
Phone (340) 772-7423

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA01010 OR Primary

Addresses

NPPES NPI Registry

Primary practice location

3617 S Pacific Hwy
Medford, OR 97501-8957

Mailing address

3617 S Pacific Hwy
Medford, OR 97501-8957
Phone (541) 535-6239

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
022868MedicaidOR
943096772OtherTAX ID

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address bdanks8484512@direct.sanfordhealth.org

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 30, 2022.

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1437145265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3617 S PACIFIC HWY",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975018957",
            "telephone_number": "541-535-6239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3617 S PACIFIC HWY",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975018957",
            "telephone_number": "541-535-6239",
            "fax_number": "541-535-4377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANKS",
        "first_name": "BRANDEE",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-27",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA01010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022868",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "943096772",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bdanks8484512@direct.sanfordhealth.org",
            "affiliation": "N",
            "address_1": "600 1st Street SW",
            "city": "Mayville",
            "state": "ND",
            "country_code": "US",
            "postal_code": "58257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

Verify at the official NPI Registry.