ANISSA BRADDOCK PA-C
NPI 1356502736
Physician Assistant - Surgical in Pennington, NJ

Q: What is Anissa Braddock's NPI number?

The NPI number for Anissa Braddock is 1356502736. It was assigned to this individual provider in the NPPES registry on June 19, 2008. The provider is also known as Anissa Mure Pa-C.

Q: What is Anissa Braddock's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Anissa Braddock was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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 19, 2008PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

2 CAPITAL WAY STE 356, PENNINGTON, NJ 08534(609) 537-7277(609) 537-6002 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 11, 2025, Mar 17, 2025, Feb 28, 2023 and 3 more (6 updates tracked since 2017).

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About Anissa Braddock Pa-c NPPES

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

ANISSA BRADDOCK PA-C (NPI 1356502736) is an individual surgical provider in Pennington, New Jersey, licensed in New Jersey (25MP00149200) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with Virtua Our Lady Of Lourdes Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1356502736

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameANISSA BRADDOCKCredential: PA-C

Location Address2 CAPITAL WAY STE 356Pennington, NJ 08534

Mailing Address2 Capital Way Ste 456Pennington, NJ 08534-2521 · (609) 537-7277 · Fax (609) 537-6002

Phone(609) 537-7277

Fax(609) 537-6002

Sole ProprietorNo

Medical School CMSOtherGraduated 1999

Enumeration DateJune 19, 2008

Last NPPES UpdateSeptember 11, 20256 updates tracked since enumeration

NPPES CertifiedSeptember 11, 2025

✔ NPI 1356502736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in NJ · 25MP00149200

2 CAPITAL WAY STE 356, Pennington, NJ 08534

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Other Names 1

Former Name (1)Anissa Mure Pa-c

Secondary Practice Locations 2

Location 11 Brace Rd Ste HCherry Hill, NJ 08034-2600 · Phone (856) 470-9029 · Fax (856) 428-4053

Location 21600 Haddon AveCamden, NJ 08103-3101 · Phone (856) 668-8818

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Anissa Braddock Pa-c 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.

PECOS PAC ID2961655816

PECOS Enrollment IDI20121231000272

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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

19 services18 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

18 services18 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

18 services13 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

16 services13 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Virtua Our Lady Of Lourdes Hospital

Acute Care Hospitals · Camden, NJ

1/5 CMS rating

OwnershipGovernment - State

CMS Certification Number310029

Location1600 Haddon AvenueCamden, NJ 08103 · Camden County

Emergency services Birthing friendly

Deborah Heart And Lung Center

Acute Care Hospitals · Browns Mills, NJ

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310031

Location200 Trenton RoadBrowns Mills, NJ 08015 · Burlington County

Virtua Mount Holly Hospital

Acute Care Hospitals · Mount Holly, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310057

Location175 Madison AveMount Holly, NJ 08060 · Burlington County

Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

Leave this field empty

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.

VALERIE ORTIZ RD

Dietitian, Registered