Jessica Brandt, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA065290 Issued in PA

Practice address

21 W Clarke Ave
Milford, DE 19963-1840

Phone

(302) 422-3311

NPI assigned

Aug 25, 2010

Last updated

Jul 9, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in DE, PA, TN3 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

Specialty

Physician Assistant

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jbrandt3511540@direct.trinity-health.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bayhealth Medical Center, Inc.

  dba Bayhealth Observation Physicians

  • Emergency Medicine Physician
  • Dover, DE
  • NPI 1679072144
  Medicare reassignment NPD
• Medexpress Urgent Care, PC - Tennessee

  dba MedExpress - ORNL Oak Ridge

  • General Practice Physician
  • Oak Ridge, TN
  • NPI 1013419522
  Medicare reassignment NPD
• Bayhealth Emergency Physicians LLC

  • Emergency Medicine Physician
  • Dover, DE
  • NPI 1073012696
  Medicare reassignment
• Christiana Care Emergency Physicians LLC

  dba Christiana Care Emergency Physicians

  • Emergency Medicine Physician
  • Newark, DE
  • NPI 1639956451
  Medicare reassignment
• American Telehealth, LLC

  dba CCS Healthcare

  • General Practice Physician
  • Mount Laurel, NJ
  • NPI 1245600022

  DE

  Medicare reassignment
• Main Line Emergency Med Associates LLC

  • Emergency Medicine Physician
  • Paoli, PA
  • NPI 1316919368
  Medicare reassignment
• Trinity Health Mid-Atlantic Medical Group

  dba THMA MG Surgical Associates Holme

  • Surgery Physician
  • Langhorne, PA
  • NPI 1972982361
  Medicare reassignment
• Bayhealth Medical Center, Inc

  • Gastroenterology Physician
  • Milford, DE
  • NPI 1639938525
  NPD
• Medexpress Urgent Care, PC - Tennessee

  • Urgent Care Clinic/Center
  • Bristol, TN
  • NPI 1689931446

  Emergency Medicine

  NPD
• Trinity Health Mid-Atlantic Medical Group

  dba Diabetes Management Center

  • Registered Dietitian
  • Langhorne, PA
  • NPI 1366949646
  NPD
• Trinity Health Mid-Atlantic Medical Group

  • Physical Medicine & Rehabilitation Physician
  • Philadelphia, PA
  • NPI 1639039175
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1282694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1811203169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 W CLARKE AVE",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199631840",
            "telephone_number": "302-422-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 W CLARKE AVE",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199631840",
            "telephone_number": "302-422-3311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2601 Holme Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191522007",
            "country_code": "US",
            "telephone_number": "215-335-6562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRANDT",
        "first_name": "JESSICA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-25",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA006771",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DE",
            "license": "C5-0000729",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA065290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Boley
• Raymond A Bologna, M.D.
• Olivia Boone, MS, OTR
• Michelle Bortner
• Tracy L Bradshaw, PTA
• Kristi Breasure
• Bonnie L. Breeding, CFNP
• Brett Elliott MD PA
• Michelle Lynn Bretzius, D.O.
• Luisa Brito, MSW

• Physician Assistant in Milford, DE
• Providers in Milford, DE by specialty
• Physician Assistant in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.

Verify at the official NPI Registry.