Jessica M Brubaker, NURSE PRACTITIONER

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

SP015064 Issued in PA

Practice address

1535 Highlands Dr Ste 300
Lititz, PA 17543-7681

Phone

(717) 625-3509

Fax

(717) 625-4258

NPI assigned

Aug 24, 2015

Last updated

Jan 26, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pinnacle Health Regional PhysiciansGroup PAC ID 7416228358, 158 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

88.61 of 100Reported as group

Quality

83.98

Promoting interoperability

100

Improvement activities

40

Cost

78.06

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Pinnacle Health Regional Physicians

  • Internal Medicine Physician
  • Harrisburg, PA
  • NPI 1013441690

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Pinnacle Health Regional Physicians

  dba Plastic and Aesthetic Surgical Assoc

  • Plastic Surgery Physician
  • Lititz, PA
  • NPI 1083134282
  NPD
• Pinnacle Health Medical Services

  • Family Medicine Physician
  • Harrisburg, PA
  • NPI 1932143427
  NPD (past)

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

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1588031728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 HIGHLANDS DR STE 300",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175437681",
            "telephone_number": "717-625-3509",
            "fax_number": "717-625-4258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 HIGHLANDS DR STE 300",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175437681",
            "telephone_number": "717-625-3509",
            "fax_number": "717-625-4258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUBAKER",
        "first_name": "JESSICA",
        "middle_name": "M",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-24",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP015064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbrubaker65291@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "1535 Highlands Dr Ste 300",
            "city": "Lititz",
            "state": "PA",
            "country_code": "US",
            "postal_code": "175437681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Andrew Steven Breza, EMT
• Brickerville Fire Company No 1
• Sarah Dorothy Brogunier
• Ashley Danielle Brown, PTA
• Bethany Grace Brown, NP
• Veronica Lynn Brumbach, LMT
• Nicole Bruno
• Thomas D Bucci, CRNA
• Buckbee Hearing Aid Center LLC
• Keith Cheever Buckbee

• Nurse Practitioner in Lititz, PA
• Providers in Lititz, PA by specialty
• Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.