JESSICA BROOKE WREN NP
NPI 1124563713
Nurse Practitioner - Family in Richmond Hill, GA
About Jessica Brooke Wren Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSICA BROOKE WREN NP (NPI 1124563713) is an individual family provider in Richmond Hill, Georgia, licensed in Georgia (RN190747NP) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jessica Brooke Wren Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Jessica Wren reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fayetteville, GA 30214
- Reassigned Medicare billing, Georgia enrollment
- 759 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 31324 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jessica Wren's NPI number?
The NPI number for Jessica Wren is 1124563713. It was assigned to this individual provider in the NPPES registry on January 5, 2017.
Where is Jessica Wren located?
Jessica Wren practices at 89 Interchange Dr, Richmond Hill, GA 31324. The listed phone number is (912) 527-5301.
What is Jessica Wren's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jessica Wren enrolled in Medicare?
Yes. Jessica Wren is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Jessica Wren's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Wren reassigns Medicare benefits to Privia Medical Group Of Georgia LLC (Fayetteville, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessica Wren's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jessica Wren was last updated on January 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jessica Brooke Wren, NP · NPI 1124563713
Family physician in Richmond Hill, Georgia. Individual provider, active in the CMS NPPES registry since January 5, 2017.
## Identity
- **NPI:** 1124563713 (Entity type: Individual)
- **Enumerated:** January 5, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN190747NP (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 89 INTERCHANGE DR, Richmond Hill, GA 31324-7661
- **Phone:** (912) 527-5301 · **Fax:** (912) 756-4740
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Privia Medical Group Of Georgia LLC (NPI 1013313857, Fayetteville, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** January 5, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1124563713) · Data from the CMS NPPES public registry.