JACQUELINE BRANDT
NPI 1578222832
Nurse Practitioner in Tampa, FL

Q: What is Jacqueline Brandt's NPI number?

The NPI number for Jacqueline Brandt is 1578222832. It was assigned to this individual provider in the NPPES registry on December 14, 2021.

Q: What is Jacqueline Brandt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Jacqueline Brandt was last updated on March 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 December 14, 2021PECOS EnrolledAccepts Medicare Assignment

3100 E FLETCHER AVE, TAMPA, FL 33613(407) 303-7283 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 12, 2026, Jul 8, 2025, Apr 25, 2022 and 2 more (5 updates tracked since 2021).

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About Jacqueline Brandt NPPES

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

JACQUELINE BRANDT (NPI 1578222832) is an individual nurse practitioner in Tampa, Florida, licensed in Florida (APRN11017680) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1578222832

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameJACQUELINE BRANDT

Location Address3100 E FLETCHER AVETampa, FL 33613-4613

Mailing Address3100 E Fletcher AveTampa, FL 33613-4613 · (407) 303-7283

Phone(407) 303-7283

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateDecember 14, 2021

Last NPPES UpdateMarch 12, 20265 updates tracked since enumeration

NPPES CertifiedMarch 12, 2026

✔ NPI 1578222832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in FL · APRN11017680

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · Critical Care MedicineTaxonomy 363LC0200X · License APRN11017680 (FL)

3100 E FLETCHER AVE, Tampa, FL 33613

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Secondary Practice Locations 2

Location 11 Tampa General CirTampa, FL 33606-3571 · Phone (813) 844-7000

Location 212902 Usf Magnolia DrTampa, FL 33612-9416 · Phone (813) 745-7365 · Fax (813) 449-8618

Other Identifiers 2

Medicaid113771200FL

OtherB3YA8FL · Blue Cross Blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AvMed and more.Insurance ›

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

Jacqueline Brandt 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 ID9638564172

PECOS Enrollment IDI20220318000901

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 33613 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

ELEANOR INNOCENT DPT

Physical Therapist