Individual provider Active NPI

Jada Brown

  • Physician Assistant
  • Frederick, MD
National Provider Identifier
1891431565
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2264 Issued in WV
Practice address
163 Thomas Johnson Dr Ste H
Frederick, MD 21702-4673
Phone
(301) 694-9111
NPI assigned
May 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 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 2264 WV Primary

Addresses

Primary practice location

163 Thomas Johnson Dr Ste H
Frederick, MD 21702-4673

Mailing address

6701 Democracy Blvd Ste 300
Bethesda, MD 20817-7500
Phone (301) 694-9111

Other practice location 1

12813 Little Elliott Dr Apt 12
Hagerstown, MD 21742-2762
Phone (304) 707-4110

Other practice location 2

880 N Tennessee Ave Ste 104
Martinsburg, WV 25401-9401
Phone (304) 596-5160

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, MD2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20230303001194 WV Practitioner - Physician Assistant 9234502741 Reassigns benefits to 1 organization
I20241011001727 MD Practitioner - Physician Assistant 9234502741 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meritus Medical Center IncGroup PAC ID 7113811795, shared by 8 NPIs, 730 clinicians
Centers for Advanced ENT Care LLCGroup PAC ID 1658647359, 103 clinicians

Practice addresses (Care Compare)

11110 Medical Campus Rd
Hagerstown, MD 21742-6700

163 Thomas Johnson Dr
Suite H
Frederick, MD 21702-4673
Phone (301) 694-9111

1800 Dual Hwy
Suite 303
Hagerstown, MD 21740-6648
Phone (301) 739-0400

6565 N Charles St
Suite 601
Baltimore, MD 21204-5801
Phone (410) 821-5151

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2664WVMDMassage Therapist
2264WVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia University Medical Corporation CurrentSince Jan 16, 2023 Accepting new patients
West Virginia University Medical Corporation CurrentSince Jun 28, 2024 Accepting new patients
West Virginia University Medical Corporation CurrentSince Jan 16, 2023 Accepting new patients
Cumberland Valley ENT Consultants Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

880 N Tennessee Ave
Ste 104
Martinsburg, WV 25401
Phone (304) 596-5160

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

Interoperability endpoints

  • Direct secure messaging: jbrown205239@direct.wvuhsdirect.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1651795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1891431565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 DEMOCRACY BLVD STE 300",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208177500",
            "telephone_number": "301-694-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 THOMAS JOHNSON DR STE H",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024673",
            "telephone_number": "301-694-9111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12813 Little Elliott Dr Apt 12",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "217422762",
            "country_code": "US",
            "telephone_number": "304-707-4110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "880 N Tennessee Ave Ste 104",
            "address_purpose": "LOCATION",
            "city": "Martinsburg",
            "state": "WV",
            "postal_code": "254019401",
            "country_code": "US",
            "telephone_number": "304-596-5160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JADA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-06",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "2264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.