Active NPI
Jada Brown
- Physician Assistant
- Frederick, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2264
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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 Inc
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 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2664 | WV | MD | Massage Therapist |
| 2264 | WV | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Virginia University Medical Corporation | Current | Accepting new patients | |
| West Virginia University Medical Corporation | Current | Accepting new patients | |
| West Virginia University Medical Corporation | Current | 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
- 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.
-
- Otolaryngology Physician
- Baltimore, MD
- NPI 1447781620
-
dba University Health Associates
- Family Medicine Physician
- Morgantown, WV
- NPI 1275504508
-
dba Crisis Support and Recovery Center
- Community/Behavioral Health Agency
- Martinsburg, WV
- NPI 1174233530
-
- Clinical Psychologist
- Morgantown, WV
- NPI 1609624428
-
dba Drs. Drawbaugh, Saylor, Wathne & Cukier, P. A.
- Otolaryngology Physician
- Hagerstown, MD
- NPI 1649272824
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.