Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brandon J Jackel, NP

Individual provider Nurse Practitioner · NPI 1013869361

Brandon J Jackel, NP is a Nurse Practitioner in Penn Yan, New York. Qualified in 2025, 1 year ago. Licensed in New York.

Years since qualifying
1
Licensed in
NY
In the registry since
2026
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

112 Kimball Ave
Penn Yan, NY 14527-1816
Phone: (315) 536-2752
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 356791 (NY)

Record details

NPI number1013869361
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedFebruary 10, 2026
Last updated in NPPESMay 28, 2026
Certification dateMay 28, 2026
Mailing address601b W Washington St, Geneva, NY 14456-2119

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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