Individual provider

Jacklynn Brown, RPA-C

Medical Physician Assistant Surgical Physician Assistant Medicare enrolled

Jacklynn Brown, RPA-C is a Medical Physician Assistant in Corinth, NY, registered under NPI 1164424164. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 200 SMITH DR, Corinth, NY 12822. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

200 SMITH DR, Corinth, NY 12822 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
004699 NY Medical Physician Assistant primary
004699 NY Surgical Physician Assistant

This provider holds licence 004699 issued in NY. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Physician Assistant
PAC ID
2769457944
Enrollment ID
I20040831001028

Medicare enrolment is recorded as approved under the provider type Practitioner - Physician Assistant. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Medical covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Medical

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
363AM0700X Medical Physician Assistant Medical 004699 NY primary
363AS0400X Surgical Physician Assistant Surgical 004699 NY

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1164424164 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateAug 10, 2005
Last updatedDec 26, 2012
StatusActive
Sole proprietorNo
CredentialRPA-C
Practice address 200 SMITH DR
Corinth, NY 12822
(518) 654-7680
Fax (518) 654-7695
Mailing address 35 REARDON RD
Glens Falls, NY 12804
This record was last updated on Dec 26, 2012, roughly 13 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1164424164 passes the NPI check digit test The final digit 4 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 6 4 4 2 4 1 6
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 3 4 8 2 8 1 3

Sum = 56 · next multiple of 10 = 60 · check digit = 4 · actual last digit = 4

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1164424164?
NPI 1164424164 is the National Provider Identifier assigned to Jacklynn Brown, RPA-C in Corinth, NY. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Medical cover?
Definition to come...
How do I contact Jacklynn Brown, RPA-C?
The phone number on file with NPPES is (518) 654-7680, last updated Dec 26, 2012. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Jacklynn Brown, RPA-C accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1164424164 a valid number?
Yes. 1164424164 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.