Active NPI
Jennifer Lee Brillhart, PAC
- Surgical Physician Assistant
- York, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- MA002018L
- Practice address
- 30 Monument Street
Ste 1100
York, PA 17403-1740 - Phone
- (717) 851-6454
- Fax
- (717) 851-1665
- NPI assigned
- Jun 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA002018L | PA | |
| Medical Physician Assistant | 363AM0700X | MA002018L | PA | |
| Surgical Physician Assistant | 363AS0400X | MA002018L | PA | Primary |
Addresses
Primary practice location
30 Monument Street
Ste 1100
York, PA 17403-1740
Mailing address
3421 Concord Rd
York, PA 17402-9001
Phone (717) 851-6454
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50040428 | Other | PA | CAPITAL BLUE CROSS-WMG |
| 1550567 | Other | PA | GATEWAY-WMG |
Other names 1
- Jennifer Ann Brillhart
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1001 S George St
York, PA 17403-3676
1001 S George St 2ND Floor
Wellspan Pulmonary and Sleep Medicine
York, PA 17403-3676
Phone (717) 851-2465
25 Monument Rd
York, PA 17403-5073
2618 E Market St
Autumn House
York, PA 17403
Phone (717) 845-7214
30 Monument Rd
Suite 1100
York, PA 17403-5024
Phone (717) 812-2480
914 W Market St
Autumn House West
York, PA 17403
Phone (717) 845-7214
Hospital & facility affiliations
- Wellspan Vna Home Care
- Wellspan York Hospital
- Wellspan Chambersburg Hospital
- Gettysburg Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA002018L | PA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Cardiac and Thoracic Surgery Associates | Past | Accepting new patients |
Locations
450 S Washington St
Ste B1
Gettysburg, PA 17325
Phone (717) 338-3292
25 Monument Rd
Ste 190
York, PA 17403
Phone (717) 741-8011
30 Monument Rd
Ste 1100
York, PA 17403
Phone (717) 851-2441
1600 S George St
York, PA 17403
Phone (717) 848-3615
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
3421 Concord Rd
York, PA 17402
Phone (717) 851-2441
Interoperability endpoints
- jbrillhart16195@wellspan.direct-ci.com
Organizations & group practices 4
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.
-
- Gastroenterology Physician
- York, PA
- NPI 1669770004
-
- Pediatric Surgery Physician
- York, PA
- NPI 1104799428
-
- Surgery Physician
- York, PA
- NPI 1447006432
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- York, PA
- NPI 1689627259
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chambersburg, PA
- NPI 1902804552
-
- General Acute Care Hospital
- Gettysburg, PA
- NPI 1265466957
-
- Home Health Agency
- York, PA
- NPI 1437172301
-
- General Acute Care Hospital
- York, PA
- NPI 1326060492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621382400000",
"number": "1609802461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3421 CONCORD RD",
"city": "YORK",
"state": "PA",
"postal_code": "174029001",
"telephone_number": "717-851-6454",
"fax_number": "717-851-1665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 MONUMENT STREET",
"address_2": "STE 1100",
"city": "YORK",
"state": "PA",
"postal_code": "174031740",
"telephone_number": "717-851-6454",
"fax_number": "717-851-1665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRILLHART",
"first_name": "JENNIFER",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-24",
"last_updated": "2021-05-19",
"certification_date": "2021-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA002018L",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA002018L",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "PA",
"license": "MA002018L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS-WMG",
"identifier": "50040428",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY-WMG",
"identifier": "1550567",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "BRILLHART",
"middle_name": "ANN",
"credential": "PAC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in York, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.