Individual provider Active NPI

Jameka McElroy-Brooklyn, PA-C

  • Physician Assistant
  • Arlington, VA
National Provider Identifier
1790155166
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085005649 Issued in IL
Practice address
2900 S Quincy St Ste 210
Arlington, VA 22206-9907
Phone
(703) 212-7546
NPI assigned
Sep 29, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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 085005649 IL Primary

Addresses

Primary practice location

2900 S Quincy St Ste 210
Arlington, VA 22206-9907

Mailing address

2900 S Quincy St Ste 210
Arlington, VA 22206-9907
Phone (703) 212-7546

Other names 1

  • Ms. Jameka K McElroy Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, DC, VA3 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
I20151214002555 IL Practitioner - Physician Assistant 4981905064 Reassigns benefits to 1 organization
I20201110002146 DC Practitioner - Physician Assistant 4981905064 Reassigns benefits to 2 organizations
I20211004000460 VA Practitioner - Physician Assistant 4981905064 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
89.66 of 100Reported as group
Quality
74.5
Promoting interoperability
94
Improvement activities
40
Cost
96.04

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
085005649ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sarah Bush Lincoln Health Center CurrentSince Oct 23, 2015 Accepting new patients
Sarah Bush Lincoln Health Center Physician Assistant CurrentSince Oct 23, 2015 Accepting new patients

Locations

1005 Health Center Dr
Ste 201
Mattoon, IL 61938
Phone (217) 238-6055

1000 Health Center Dr
Mattoon, IL 61938
Phone (217) 258-2389

101 Professional Plz
Mattoon, IL 61938
Phone (217) 238-3730

Interoperability endpoints

  • Direct secure messaging: jmcelroy@aaid.emadirect.md
  • Direct secure messaging: jamekamcelroybrooklyn@pinnacleskin.emadirect.md

Organizations & group practices 5

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": "1443484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1790155166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 S QUINCY ST STE 210",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222069907",
            "telephone_number": "703-212-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 S QUINCY ST STE 210",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222069907",
            "telephone_number": "703-212-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCELROY-BROOKLYN",
        "first_name": "JAMEKA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-29",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085005649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMEKA",
            "last_name": "MCELROY",
            "middle_name": "K",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Arlington, VA

Sources for this page

Verify at the official NPI Registry.