Individual provider Active NPI

Jessica Elizabeth Brown, PA-C

  • Physician Assistant
  • Xenia, OH
National Provider Identifier
1730045022
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.009981RX Issued in OH
Practice address
1856 State Route 380
Xenia, OH 45385-9705
Phone
(937) 701-9342
NPI assigned
Dec 30, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.009981RX OH Primary

Addresses

Primary practice location

1856 State Route 380
Xenia, OH 45385-9705

Mailing address

2600 N Limestone St Ste 175
Springfield, OH 45503-1111
Phone (937) 523-9980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20260303003927 OH Practitioner - Physician Assistant 4587146188 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1 Prestige PL
Suite 550
Miamisburg, OH 45342-3789

1 Prestige PL
Suite 550
Miamisburg, OH 45342-6115

4600 McAuley PL
Blue Ash, OH 45242-4765

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
50.009981RXOHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kettering Independent Medical Group Inc CurrentSince Feb 11, 2026 Accepting new patients
Mercy Health Physicians Springfield Specialty Care LLC Physician Assistant CurrentSince Jul 8, 2026 Accepting new patients

Locations

3700 Southern Blvd
Ste 300
Kettering, OH 45429
Phone (937) 395-8002

2600 N Limestone St
Ste 175
Springfield, OH 45503
Phone (937) 523-9980

Organizations & group practices 2

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": "1767052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1730045022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 N LIMESTONE ST STE 175",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455031111",
            "telephone_number": "937-523-9980",
            "fax_number": "937-523-9985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1856 STATE ROUTE 380",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453859705",
            "telephone_number": "937-701-9342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JESSICA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-30",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.009981RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Xenia, OH

Sources for this page

Verify at the official NPI Registry.