JA'QUAY DANIELLE BRISTER
NPI 1417420365
Nurse Practitioner - Psychiatric/Mental Health in Memphis, TN
About Ja'quay Danielle Brister NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JA'QUAY DANIELLE BRISTER (NPI 1417420365) is an individual psychiatric/mental health provider in Memphis, Tennessee, licensed in Tennessee (26984) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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)
Ja'quay Danielle Brister is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Ja'quay Brister reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lafayette, LA 70503
- Reassigned Medicare billing, Louisiana enrollment
- 5 clinicians in this Medicare group
Miami, FL 33130
- Reassigned Medicare billing, Tennessee enrollment
- 315 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 38104 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.
MEMPHIS, TN 38104
MEMPHIS, TN 38104
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 Ja'quay Brister's NPI number?
The NPI number for Ja'quay Brister is 1417420365. It was assigned to this individual provider in the NPPES registry on January 3, 2019.
Where is Ja'quay Brister located?
Ja'quay Brister practices at 1030 Jefferson Ave, Memphis, TN 38104. The listed phone number is (901) 523-8990.
What is Ja'quay Brister's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Ja'quay Brister enrolled in Medicare?
Yes. Ja'quay Brister is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Ja'quay Brister's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ja'quay Brister reassigns Medicare benefits to 2 organizations: One Telemed LLC (Lafayette, LA) and Grow Healthcare Group PA (Miami, FL). 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 Ja'quay Brister's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ja'quay Brister accept?
Health plans from BlueCross BlueShield of Tennessee, Cigna Healthcare and UnitedHealthcare list Ja'quay Brister 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 Ja'quay Brister was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Ja'quay Danielle Brister · NPI 1417420365
Psychiatric/Mental Health physician in Memphis, Tennessee. Individual provider, active in the CMS NPPES registry since January 3, 2019.
## Identity
- **NPI:** 1417420365 (Entity type: Individual)
- **Enumerated:** January 3, 2019
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 26984 (Tennessee)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1030 JEFFERSON AVE, Memphis, TN 38104-2127
- **Phone:** (901) 523-8990
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): One Telemed LLC (NPI 1750808911, Lafayette, LA); Grow Healthcare Group PA (NPI 1245845932, Miami, FL) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 14, 2026
- **Other identifiers:** Other 1417420365 (TN)
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Source: [NPI Profile](https://npiprofile.com/npi/1417420365) · Data from the CMS NPPES public registry.