DR. JENNIFER MICHELLE BRANSCOME PHD
NPI 1790240984
Psychologist in Fleming Island, FL

Active since February 01, 2019PECOS Enrolled
1747 BAPTIST CLAY DR STE 350, FLEMING ISLAND, FL 32003(904) 376-3800(904) 390-7397 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 10, 2025, Jul 26, 2024, Oct 3, 2023 and 1 more (4 updates tracked since 2019).

About Dr. Jennifer Michelle Branscome Phd NPPES

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

DR. JENNIFER MICHELLE BRANSCOME PHD (NPI 1790240984) is an individual psychologist in Fleming Island, Florida, licensed in Florida (PY11159) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790240984
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. JENNIFER MICHELLE BRANSCOMECredential: PHD
Location Address1747 BAPTIST CLAY DR STE 350Fleming Island, FL 32003-8504
Mailing AddressPo Box 748519Atlanta, GA 30374-8519 · (904) 376-3800 · Fax (904) 376-3998
Fax(904) 390-7397
Sole ProprietorNo
Enumeration DateFebruary 1, 2019
Last NPPES UpdateSeptember 10, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2025
NPI 1790240984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Licenses Licensed in FL · PY11159 Licensed in GA · PSY003898
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

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)

Dr. Jennifer Michelle Branscome Phd 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.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
1747 BAPTIST CLAY DR STE 350
FLEMING ISLAND, FL 32003
Psychologist
1747 BAPTIST CLAY DR STE 350
FLEMING ISLAND, FL 32003
Counselor (Mental Health)
1747 BAPTIST CLAY DR STE 350
FLEMING ISLAND, FL 32003
Counselor (Mental Health)
1747 BAPTIST CLAY DR STE 350
FLEMING ISLAND, FL 32003

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 Jennifer Branscome's NPI number?

The NPI number for Jennifer Branscome is 1790240984. It was assigned to this individual provider in the NPPES registry on February 1, 2019.

Where is Jennifer Branscome located?

Jennifer Branscome practices at 1747 Baptist Clay Dr Ste 350, Fleming Island, FL 32003. The listed phone number is (904) 376-3800.

What is Jennifer Branscome's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Jennifer Branscome enrolled in Medicare?

Yes. Jennifer Branscome is registered in the Medicare PECOS enrollment system.

What insurance does Jennifer Branscome accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida list Jennifer Branscome 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 Jennifer Branscome was last updated on September 10, 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.