Individual provider Active NPI

Jessica Nicole Brickers, CRNA

  • Certified Registered Nurse Anesthetist
  • South Hill, VA
National Provider Identifier
1477154607
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0024192591 Issued in VA
Practice address
1755 N Mecklenburg Ave
South Hill, VA 23970-4080
Phone
(804) 828-2207
Fax
(804) 828-8300
NPI assigned
Nov 4, 2020
Last updated
Aug 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 6544 NC
Certified Registered Nurse Anesthetist 367500000X 134347 NC
Certified Registered Nurse Anesthetist 367500000X 0024192591 VA Primary

Addresses

Primary practice location

1755 N Mecklenburg Ave
South Hill, VA 23970-4080

Mailing address

PO Box 780125
Philadelphia, PA 19178-0125
Phone (804) 922-4844

Other practice location 1

2525 Court Dr
Gastonia, NC 28054-2140
Phone (704) 834-2000

Other practice location 2

1250 E Marshall St
Richmond, VA 23298-5023
Phone (804) 828-2207

Other identifiers 2

IdentifierTypeStateIssuer
279434OtherNCNC RN
6544OtherNCNC CRNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210106000892 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 8022421353 Reassigns benefits to 15 organizations
I20250423002328 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8022421353 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCV Associated PhysiciansGroup PAC ID 4385542117, 1,779 clinicians
East Carolina Anesthesia Associates PLLCGroup PAC ID 5092720813, 691 clinicians

Practice addresses (Care Compare)

1755 N Mecklenburg Ave
South Hill, VA 23970-4080
Phone (434) 447-3151

2525 Court Dr
Gastonia, NC 28054-2140
Phone (704) 834-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
6544NCMDProfessional Counselor
134347NCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Park Hospital LLC CurrentSince Sep 11, 2023 Accepting new patients
Novant Health Thomasville Medical Center, LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
The Presbyterian Hospital Current Accepting new patients
Presbyterian Sameday Surgery Center at Huntersville LLC Current Accepting new patients
Novant Health Mint Hill Medical Center, LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 11, 2023 Accepting new patients
Forsyth Memorial Hospital, Inc. Current Accepting new patients
Presbyterian Sameday Surgery Center at Ballantyne LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 11, 2023 Accepting new patients
Novant Health Matthews Medical Center LLC CurrentSince Sep 11, 2023 Accepting new patients
East Carolina Anesthesia Associates, PLLC Registered Nurse CurrentSince Jan 1, 2021 Accepting new patients
Presbyterian Sameday Surgery Center at Ballantyne LLC Current Accepting new patients
The Presbyterian Hospital CurrentSince Sep 11, 2023 Accepting new patients
CHS Anesthesia Services Group Inc Anesthesiology CurrentSince Aug 1, 2022 Accepting new patients
Novant Health Clemmons Outpatient Surgery, LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 11, 2023 Accepting new patients
Novant Health Rowan Medical Center, LLC CurrentSince Sep 11, 2023 Accepting new patients
Novant Health Rowan Medical Center LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 11, 2023 Accepting new patients
Presbyterian Sameday Surgery Center at Huntersville LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 11, 2023 Accepting new patients
Novant Health Clemmons Outpatient Surgery, LLC Current Accepting new patients
Medical Park Hospital LLC CurrentSince Sep 11, 2023 Accepting new patients
Novant Health Thomasville Medical Center LLC CurrentSince Sep 11, 2023 Accepting new patients
Brunswick Community Hospital, LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 11, 2023 Accepting new patients
MCV Associated Physicians Anesthesiology CurrentSince Mar 30, 2025 Accepting new patients
Novant Health Kernersville Outpatient Surgery LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 11, 2023 Accepting new patients
The Presbyterian Hospital CurrentSince Sep 11, 2023 Accepting new patients
Novant Health Kernersville Outpatient Surgery LLC CurrentSince Sep 11, 2023 Accepting new patients
Novant Health Ballantyne Medical Center LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 11, 2023 Accepting new patients
Forsyth Memorial Hospital, Inc. CurrentSince Sep 11, 2023 Accepting new patients
Novant Health Thomasville Medical Center, LLC CurrentSince Sep 11, 2023 Accepting new patients
Forsyth Memorial Hospital, Inc. Nurse Anesthetist, Certified Registered CurrentSince Sep 11, 2023 Accepting new patients

Locations

240 Hospital Dr NE
Bolivia, NC 28422
Phone (336) 399-7678

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

10905 Providence Rd W
Charlotte, NC 28277
Phone (980) 488-4000

14215 Ballantyne Corporate Pl
Ste 210
Charlotte, NC 28277
Phone (704) 316-2650

200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424

8201 Healthcare Loop
Charlotte, NC 28215
Phone (980) 302-1000

7210 Village Medical Cir
Ste 235
Clemmons, NC 27012
Phone (336) 893-3100

2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662

2430 Emerald Pl
Ste 103
Greenville, NC 27834
Phone (252) 752-2140

10030 Gilead Rd
Huntersville, NC 28078
Phone (704) 316-4000

1730 Kernersville Medical Pkwy
Ste 304
Kernersville, NC 27284
Phone (336) 515-7000

1500 Matthews Township Pkwy
Matthews, NC 28105
Phone (704) 384-6500

612 Mocksville Ave
Salisbury, NC 28144
Phone (704) 210-5000

207 Old Lexington Rd
Thomasville, NC 27360
Phone (336) 472-2000

1950 S Hawthorne Rd
Winston Salem, NC 27103
Phone (336) 718-0600

3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800

1250 E Marshall St
Richmond, VA 23298
Phone (804) 628-6990

401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409

1755 N Mecklenburg Ave
South Hill, VA 23970
Phone (434) 584-2273

Organizations & group practices 28

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.

View all 28

Hospital & facility affiliations 1

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": "1604448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1477154607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 780125",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191780125",
            "telephone_number": "804-922-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 N MECKLENBURG AVE",
            "city": "SOUTH HILL",
            "state": "VA",
            "postal_code": "239704080",
            "telephone_number": "804-828-2207",
            "fax_number": "804-828-8300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2525 Court Dr",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "280542140",
            "country_code": "US",
            "telephone_number": "704-834-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1250 E Marshall St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232985023",
            "country_code": "US",
            "telephone_number": "804-828-2207",
            "fax_number": "804-828-8300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRICKERS",
        "first_name": "JESSICA",
        "middle_name": "NICOLE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-04",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "6544",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "134347",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024192591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC RN",
            "identifier": "279434",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC CRNA",
            "identifier": "6544",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Hill, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.