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JADE BRAZELL
NPI 1720957038
Nurse Practitioner - Acute Care in Wynnewood, PA

Active since November 04, 2025PECOS Enrolled
100 E LANCASTER AVE, THE HEART PAVILLION MEZZANINE LEVEL, WYNNEWOOD, PA 19096(484) 476-1000(484) 476-9000 Get Directions Write a Review

NPPES record last updated: February 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jade Brazell NPPES

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

JADE BRAZELL (NPI 1720957038) is an individual acute care provider in Wynnewood, Pennsylvania, licensed in Pennsylvania (SP034523) and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Philadelphia, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1720957038
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameJADE BRAZELL
Location Address100 E LANCASTER AVE, THE HEART PAVILLION MEZZANINE LEVELWynnewood, PA 19096-3450
Mailing Address332 W Hortter StPhiladelphia, PA 19119-3152
Phone(484) 476-1000
Fax(484) 476-9000
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateNovember 4, 2025
Last NPPES UpdateFebruary 9, 2026
NPPES CertifiedFebruary 9, 2026
✔ NPI 1720957038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in PA · SP034523
Also ListedNurse PractitionerTaxonomy 363L00000X · License SP034523 (PA)
100 E LANCASTER AVE, Wynnewood, PA 19096
Open in Google Maps ↗

Secondary Practice Location 1

Location 1332 W Hortter St, Ba2Philadelphia, PA 19119-3152 · Phone (225) 620-8064

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jade Brazell is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7416433875
PECOS Enrollment IDI20260115002138
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.

Medicare Billing Reassignment

Medicare enrollment records show Jade Brazell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Main Line Healthcare
8.0 mi
Family Medicine
3803 WEST CHESTER PIKE, H BLDG SUITE 160
Newtown Square, PA 19073
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,638 clinicians in this Medicare group
NPI 1922077643 (484) 337-1585

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 19096 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

DR. AKHNUWKH JONES M.D.
Internal Medicine
100 E LANCASTER AVE
WYNNEWOOD, PA 19096
Montgomery County (610) 645-2000
AMANDA B CHRISTINI MD
Internal Medicine
100 E LANCASTER AVE, 4 PAVILION, SUITE 4303
WYNNEWOOD, PA 19096
Montgomery County (484) 476-6421
LAI KWAN LOUIE RPH
Pharmacist
100 E LANCASTER AVE, SUITE #12
WYNNEWOOD, PA 19096
Montgomery County (610) 658-8640
DANIEL WANG MD
Internal Medicine
100 E LANCASTER AVE, 4 PAVILION STE 4303
WYNNEWOOD, PA 19096
Montgomery County (484) 476-6421
SARAH TYRRELL CRNA
Nurse Anesthetist, Certified Registered
100 E LANCASTER AVE
WYNNEWOOD, PA 19096
Montgomery County (610) 645-2000
MARGARET MACK
Student in an Organized Health Care Education/Training Program
100 E LANCASTER AVE
WYNNEWOOD, PA 19096
Montgomery County (610) 642-3796
XIAOLING YU MD
Hospitalist
100 E LANCASTER AVE
WYNNEWOOD, PA 19096
Montgomery County (484) 476-6421
JONATHAN HONGYI CHEN MD
Student in an Organized Health Care Education/Training Program
100 E LANCASTER AVE
WYNNEWOOD, PA 19096
Montgomery County (484) 476-2000

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 Jade Brazell's NPI number?

The NPI number for Jade Brazell is 1720957038. It was assigned to this individual provider in the NPPES registry on November 4, 2025.

Where is Jade Brazell located?

Jade Brazell practices at 100 E Lancaster Ave The Heart Pavillion Mezzanine Level, Wynnewood, PA 19096. The listed phone number is (484) 476-1000.

What is Jade Brazell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Jade Brazell enrolled in Medicare?

Yes. Jade Brazell is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jade Brazell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jade Brazell reassigns Medicare benefits to Main Line Healthcare (Newtown Square, PA). The 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 Jade Brazell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jade Brazell was last updated on February 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.