Doctor profile · Federal record
Dr. Jacalyn Brace, CRNP
Nurse Practitioner · Philadelphia, PA
- NPI 1467645051
- Accepts Medicare
- 22 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
111 S 11Th St, Suite 6350
Philadelphia, PA 191074824
(215) 955-6540
fax (215) 923-0835
Credentials & registration
- NPI registered
- August 2007 — 19 yrs on file
- Profile last updated
- September 5, 2014
- Year of graduation
- 2004 — 22 yrs since
- Specialty taxonomy
- 363L00000X — NUCC code
- State license (1)
- Pennsylvania #SP008351
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1467645051. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$23
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| ConvaTec INC. | 1 | $23.05 |
By nature of payment
Frequently asked questions
What is Dr. Jacalyn Brace's medical specialty?
Dr. Jacalyn Brace practices Nurse Practitioner in Philadelphia, PA.
Where does Dr. Jacalyn Brace practice?
Dr. Jacalyn Brace practices at 111 S 11Th St, Philadelphia, PA 191074824. Office phone: 2159556540.
What is Dr. Jacalyn Brace's NPI?
Dr. Jacalyn Brace's National Provider Identifier (NPI) is 1467645051, issued by NPPES.
Does Dr. Jacalyn Brace accept Medicare assignment?
Yes. Dr. Jacalyn Brace accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.