Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JA'QUAY DANIELLE BRISTER
NPI 1417420365
Nurse Practitioner - Psychiatric/Mental Health in Memphis, TN

Active since January 03, 2019PECOS Enrolled
1030 JEFFERSON AVE, MEMPHIS, TN 38104(901) 523-8990 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 14, 2026, Jun 11, 2020, Jan 21, 2020 and 1 more (4 updates tracked since 2019).

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

NPI1417420365
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJA'QUAY DANIELLE BRISTER
Location Address1030 JEFFERSON AVEMemphis, TN 38104-2127
Mailing Address2095 Exeter Rd Ste 80-384Germantown, TN 38138-3963 · (901) 632-2975 · Fax (901) 587-8499
Sole ProprietorYes
Enumeration DateJanuary 3, 2019
Last NPPES UpdateJuly 14, 20264 updates tracked since enumeration
NPPES CertifiedJuly 14, 2026
NPI 1417420365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in TN · 26984
1030 JEFFERSON AVE, Memphis, TN 38104

Other Identifiers 1

Other1417420365TN · Npi

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ja'quay Danielle Brister 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 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.

New Patient
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Registered Nurse (Psychiatric/Mental Health)
1030 JEFFERSON AVE
MEMPHIS, TN 38104
Social Worker (Clinical)
1030 JEFFERSON AVE
MEMPHIS, TN 38104
Pharmacist
1030 JEFFERSON AVE
MEMPHIS, TN 38104
Pharmacist
1030 JEFFERSON AVE
MEMPHIS, TN 38104
Physical Medicine & Rehabilitation
1030 JEFFERSON AVE
MEMPHIS, TN 38104
Registered Nurse
1030 JEFFERSON AVE
MEMPHIS, TN 38104
Pharmacy Technician
1030 JEFFERSON AVE
MEMPHIS, TN 38104
Dentist (General Practice)
1030 JEFFERSON AVE
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.

What insurance does Ja'quay Brister accept?

Health plans from BlueCross BlueShield of Tennessee 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 34 days 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.