Individual provider Active NPI

Jennifer Bretl, PA-C

  • Medical Physician Assistant
  • Toledo, OH
National Provider Identifier
1710173000
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
50.003248 Issued in OH
Practice address
1000 Regency CT Ste 200
Toledo, OH 43623-3074
Phone
(419) 479-2665
Fax
(419) 479-2639
NPI assigned
Sep 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA066458 PA
Medical Physician Assistant 363AM0700X 50.003248 OH Primary

Addresses

Primary practice location

1000 Regency CT Ste 200
Toledo, OH 43623-3074

Mailing address

4510 Dorr St # Ms 840
Toledo, OH 43615-4040
Phone (419) 479-2665

Other practice location 1

2213 Cherry St
Toledo, OH 43607
Phone (419) 251-4354

Other practice location 2

25 Church St
Wilkes Barre, PA 18702-3507
Phone (570) 808-3100

Other identifiers 1

IdentifierTypeStateIssuer
0093169MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jennifer.bretl.1@9641.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI, PA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20110824000436 OH Practitioner - Physician Assistant 8628248945 Reassigns benefits to 4 organizations
I20240924000677 MI Practitioner - Physician Assistant 8628248945 Reassigns benefits to 1 organization
I20250410001319 PA Practitioner - Physician Assistant 8628248945 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians

Practice addresses (Care Compare)

100 N Academy Ave
Danville, PA 17822-9800
Phone (570) 271-6144

25 Church St
Wilkes Barre, PA 18702-3507
Phone (570) 808-3181

Merit-based Incentive Payment System (MIPS)

Final score
99.25 of 100Reported as group
Quality
96.55
Improvement activities
40
Cost
89.76

Merit-based Incentive Payment System (MIPS)

Final score
86.2 of 100Reported as group
Quality
82.07
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
88.34 of 100Reported as group
Quality
69.17
Promoting interoperability
99
Improvement activities
40
Cost
75

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50.003248OHMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Toledo Physicians LLC Physician Assistant CurrentSince Feb 16, 2021 Accepting new patients
Medical University of Ohio at Toledo Current Accepting new patients
Geisinger Clinic CurrentSince Apr 21, 2025 Accepting new patients
Geisinger Clinic CurrentSince Apr 21, 2025 Accepting new patients
Northern Michigan Emergenc Physicians, LLP Physician Assistant CurrentSince Sep 17, 2024 Accepting new patients
Ohio Emergency Physicians LLC Past Accepting new patients
Lucas County Emergency Physicians Inc Past Accepting new patients

Locations

3401 Ludington St
Escanaba, MI 49829
Phone (906) 786-3311

L4189
Columbus, OH 43260

1000 Regency Ct
Ste 200
Toledo, OH 43623
Phone (419) 383-2450

2213 Cherry St
Toledo, OH 43608
Phone (419) 251-4283

3355 Glendale Ave
Toledo, OH 43614
Phone (419) 383-5614

2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111

3404 W Sylvania Ave
Toledo, OH 43623
Phone (419) 407-1422

4510 Dorr St
#840
Toledo, OH 43615
Phone (419) 383-3888

100 N Academy Ave
Danville, PA 17822

25 Church St
Wilkes Barre, PA 18702
Phone (570) 340-5800

Interoperability endpoints

  • Direct secure messaging: jbretl25426@direct.utoledo.edu

Organizations & group practices 12

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": "1190246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1710173000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4510 DORR ST # MS 840",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436154040",
            "telephone_number": "419-479-2665",
            "fax_number": "419-479-2639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 REGENCY CT STE 200",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436233074",
            "telephone_number": "419-479-2665",
            "fax_number": "419-479-2639"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2213 Cherry St",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "43607",
            "country_code": "US",
            "telephone_number": "419-251-4354",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 Church St",
            "address_purpose": "LOCATION",
            "city": "Wilkes Barre",
            "state": "PA",
            "postal_code": "187023507",
            "country_code": "US",
            "telephone_number": "570-808-3100",
            "fax_number": "570-808-2539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRETL",
        "first_name": "JENNIFER",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-20",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA066458",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OH",
            "license": "50.003248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0093169",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jennifer.bretl.1@9641.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "1000 Regency Ct Ste 200",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436233074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.