MRS. JACQUELINE DAVANZO BRADY NNP-BC
NPI 1144899964
Nurse Practitioner - Neonatal, Critical Care in Greenville, NC

Q: What is Jacqueline Brady's NPI number?

The NPI number for Jacqueline Brady is 1144899964. It was assigned to this individual provider in the NPPES registry on June 24, 2021.

Q: What is Jacqueline Brady's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, Critical Care, with taxonomy code 363LN0005X.

Q: When was this NPI record last updated?

The NPPES record for Jacqueline Brady was last updated on December 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since June 24, 2021PECOS Enrolled

2100 STANTONSBURG RD, GREENVILLE, NC 27834(252) 847-4378 Get Directions Write a Review

NPPES record last updated: December 29, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 29, 2021, Jun 24, 2021 (2 updates tracked since 2021).

On this page

About Mrs. Jacqueline Davanzo Brady Nnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JACQUELINE DAVANZO BRADY NNP-BC (NPI 1144899964) is an individual neonatal, critical care provider in Greenville, North Carolina, licensed in North Carolina (5014598) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144899964

Entity TypeIndividualFemale

Primary Taxonomy363LN0005X

Provider Legal NameMRS. JACQUELINE DAVANZO BRADYCredential: NNP-BC

Location Address2100 STANTONSBURG RDGreenville, NC 27834-2818

Mailing Address3588 S Bend RdWinterville, NC 28590-1405 · (252) 341-9544

Phone(252) 847-4378

Sole ProprietorNo

Enumeration DateJune 24, 2021

Last NPPES UpdateDecember 29, 20212 updates tracked since enumeration

NPPES CertifiedDecember 28, 2021

✔ NPI 1144899964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Neonatal, Critical CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LN0005X

License✔ Licensed in NC · 5014598

2100 STANTONSBURG RD, Greenville, NC 27834

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jacqueline Davanzo Brady Nnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27834 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. STEPHEN ERIC GREGG M.D.

Student in an Organized Health Care Education/Training Program