MRS. JACQUELINE DAVANZO BRADY NNP-BC
NPI 1144899964
Nurse Practitioner - Neonatal, Critical Care in Greenville, NC
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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).
Medicare Billing Reassignments
5Medicare enrollment records show Jacqueline Brady reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Greenville, NC 27834
- Reassigned Medicare billing, North Carolina enrollment
- 1,653 clinicians in this Medicare group
Greenville, NC 27834
- Reassigned Medicare billing, North Carolina enrollment
- 930 clinicians in this Medicare group
Morehead City, NC 28557
- Reassigned Medicare billing, North Carolina enrollment
- 86 clinicians in this Medicare group
Morehead City, NC 28557
- Reassigned Medicare billing, North Carolina enrollment
- 283 clinicians in this Medicare group
Manteo, NC 27954
- Reassigned Medicare billing, North Carolina enrollment
- Medicare enrollment name: Outer Banks Professional Services, LLC
- 346 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 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.
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.
GREENVILLE, NC 27834
GREENVILLE, NC 27834
GREENVILLE, NC 27834
GREENVILLE, NC 27834
GREENVILLE, NC 27834
GREENVILLE, NC 27834
GREENVILLE, NC 27834
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 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.
Where is Jacqueline Brady located?
Jacqueline Brady practices at 2100 Stantonsburg Rd, Greenville, NC 27834. The listed phone number is (252) 847-4378.
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.
Is Jacqueline Brady enrolled in Medicare?
Yes. Jacqueline Brady is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Jacqueline Brady's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Brady reassigns Medicare benefits to 5 organizations: Vidant Medical Group LLC (Greenville, NC), East Carolina University (Greenville, NC), Carteret Medical Group LLC (Morehead City, NC), Carteret County General Hospital Corporation (Morehead City, NC) and Outerbanks Professional Services LLC (Manteo, NC). Each 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 Jacqueline Brady's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jacqueline Brady accept?
Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare list Jacqueline Brady as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
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.
# Mrs. Jacqueline Davanzo Brady, NNP-BC · NPI 1144899964
Neonatal, Critical Care physician in Greenville, North Carolina. Individual provider, active in the CMS NPPES registry since June 24, 2021.
## Identity
- **NPI:** 1144899964 (Entity type: Individual)
- **Enumerated:** June 24, 2021
- **Primary specialty:** Nurse Practitioner - Neonatal, Critical Care · taxonomy 363LN0005X
- **State license:** 5014598 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 2100 STANTONSBURG RD, Greenville, NC 27834-2818
- **Phone:** (252) 847-4378
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Vidant Medical Group LLC (NPI 1477648731, Greenville, NC); East Carolina University (NPI 1689815284, Greenville, NC); Carteret Medical Group LLC (NPI 1700164464, Morehead City, NC); Carteret County General Hospital Corporation (NPI 1184951840, Morehead City, NC); Outerbanks Professional Services LLC (NPI 1457686891, Manteo, NC) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 29, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1144899964) · Data from the CMS NPPES public registry.