JENNIFER LYNN BRINCKERHOFF PA-C
NPI 1902209844
Physician Assistant - Medical in Orlando, FL

Active since October 07, 2014PECOS EnrolledAccepts Medicare Assignment
4750 THE GROVE DRIVE STE 280, ORLANDO, FL 32819(407) 704-7546(321) 400-1109 Get Directions Write a Review

NPPES record last updated: June 4, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jennifer Lynn Brinckerhoff Pa-c NPPES

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

JENNIFER LYNN BRINCKERHOFF PA-C (NPI 1902209844) is an individual medical provider in Orlando, Florida, licensed in Florida (PA9108310) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1902209844
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameJENNIFER LYNN BRINCKERHOFFCredential: PA-C
Location Address4750 THE GROVE DRIVE STE 280Orlando, FL 32819
Mailing Address4750 The Grove Drive Ste 280Orlando, FL 32819 · (407) 704-7546 · Fax (321) 400-1109
Fax(321) 400-1109
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateOctober 7, 2014
Last NPPES UpdateJune 4, 2018
NPI 1902209844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in FL · PA9108310
Also ListedDermatologyTaxonomy 207N00000X · License PA9108310 (FL)
4750 THE GROVE DRIVE STE 280, Orlando, FL 32819

Other Names 1

Former Name (1)Jennifer Lynn Henderson Pa-c

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

Jennifer Lynn Brinckerhoff Pa-c 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 ID5991028128
PECOS Enrollment IDI20141219001229
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.

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 Brinckerhoff's NPI number?

The NPI number for Jennifer Brinckerhoff is 1902209844. It was assigned to this individual provider in the NPPES registry on October 7, 2014. The provider is also known as Jennifer Lynn Henderson Pa-C.

Where is Jennifer Brinckerhoff located?

Jennifer Brinckerhoff practices at 4750 The Grove Drive Ste 280, Orlando, FL 32819. The listed phone number is (407) 704-7546.

What is Jennifer Brinckerhoff's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jennifer Brinckerhoff enrolled in Medicare?

Yes. Jennifer Brinckerhoff is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jennifer Brinckerhoff was last updated on June 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.