NPIMap

Individual provider Active NPI

Brianna Marie Janssen, PA-C

  • Medical Physician Assistant
  • West Palm Beach, FL
National Provider Identifier
1760901292
Registry record updated Mar 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9112026 Issued in FL
Practice address
8200 Okeechobee Blvd
West Palm Beach, FL 33411-2099
Phone
(561) 964-1111
NPI assigned
Sep 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9112026 FL Primary

Addresses

Primary practice location

8200 Okeechobee Blvd
West Palm Beach, FL 33411-2099

Mailing address

8200 Okeechobee Blvd
West Palm Beach, FL 33411-2099
Phone (561) 964-1111

Other practice location 1

784 E Prima Vista Blvd
Port St Lucie, FL 34952-2271
Phone (772) 878-7311

Other names 1

  • Miss Brianna Marie Pancione Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191211002588 FL Practitioner - Physician Assistant 8628401247 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4623 Forest Hill Blvd
Suite 101
West Palm Beach, FL 33415-9120
Phone (561) 967-8888

8200 Okeechobee Blvd
West Palm Beach, FL 33411-2099
Phone (561) 964-1111

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9112026FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health System/ Sunbelt, Inc. CurrentSince Aug 1, 2021 Accepting new patients
Adventist Health System/Sunbelt, Inc. CurrentSince Aug 1, 2021 Accepting new patients
Urgent Care Centers of Brevard County LLC CurrentSince Aug 1, 2021 Accepting new patients
Central Palm Beach Physicians & Urgent Care, Inc. CurrentSince Nov 20, 2020 Accepting new patients
Urgent Care Centers of Brevard County LLC CurrentSince Aug 1, 2021 Accepting new patients
Ronald S Smith OD PA Past Accepting new patients

Locations

440 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 788-2000

105 S Banana River Blvd
Cocoa Beach, FL 32931
Phone (321) 783-3362

2600 Westhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 200-1353

8200 Okeechobee Blvd
West Palm Beach, FL 33411
Phone (561) 798-2425

4623 Forest Hill Blvd
Ste 101
West Palm Beach, FL 33415
Phone (561) 966-7194

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": "1505433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614816000000",
    "number": "1760901292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 OKEECHOBEE BLVD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334112099",
            "telephone_number": "561-964-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 OKEECHOBEE BLVD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334112099",
            "telephone_number": "561-964-1111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "784 E Prima Vista Blvd",
            "address_purpose": "LOCATION",
            "city": "Port St Lucie",
            "state": "FL",
            "postal_code": "349522271",
            "country_code": "US",
            "telephone_number": "772-878-7311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JANSSEN",
        "first_name": "BRIANNA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-15",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9112026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIANNA",
            "last_name": "PANCIONE",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.