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Jenna Marie Bradesca, PA-C

NPI 1366872905ActiveIndividual· Physician Assistant· Willoughby, OH

Opted out of Medicare from July 2026 to July 2028. Physician Assistant (PA-C) in Willoughby, Ohio, licensed in OH, with an NPI issued in November 2013. Medicare paid $26,284 for services to 104 patients in 2024.

Overview

NPI1366872905
StatusActive
Entity typeIndividual
CredentialPA-C
Sole proprietorNo
NPI issuedNov 18, 2013
Last updated in NPPESNov 18, 2013

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X50.003931OH

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026
Opt-outOpted out Jul 1, 2026 – Jul 1, 2028
Can order and referYes
Accepts assignmentYes (participating)

During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.

Medicare services in 2024

Medicare patients104
Services billed1,084 across 10 procedure codes
Paid by Medicare$26,284

Medicare sources and data years

Education and affiliations

Graduation year2013
Medicare specialtyPhysician Assistant

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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