BROOKE ERYN LEVINE (PHYSICIAN ASSISTANT) – Physician Assistant, NPI 1306560107

BROOKE ERYN LEVINE (PHYSICIAN ASSISTANT) is a healthcare provider. based in Los angeles, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PHYSICIAN ASSISTANT. They hold a License No. PA63955 (CA). The NPI Number for BROOKE ERYN LEVINE (PHYSICIAN ASSISTANT) is 1306560107

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
BROOKE ERYN LEVINE (PHYSICIAN ASSISTANT)
NPI
1306560107
Phone
(818) 477-7207
Address
11611 SAN VICENTE BLVD
Enumeration Date
27 September 2022
Last Update Date
11 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2023 (3 years ago)
PAC ID
2466934823
Group Practice PAC ID
6608990742
Professional Enrollment ID
I20260304003271
Address ID
CA900495106LO11611BLVD406
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness85
Years active:3State licenses:1Digital endpointsOther names

10,564 PHYSICIAN ASSISTANT in CA

Provider Addresses for BROOKE ERYN LEVINE (PHYSICIAN ASSISTANT)

  • 11611 SAN VICENTE BLVD

    LOS ANGELES, CA 900495106

    Phone: (818) 477-7207

    Type: Mailing

  • 3725 CALLE JAZMIN

    CALABASAS, CA 913023040

    Phone:

    Type: Mailing

  • 11500 W OLYMPIC BLVD STE 480

    LOS ANGELES, CA 900641678

    Phone: (818) 477-7207

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $94.

Total Amount is formed as General ($94) + Research ($0) + Ownership ($0) = $94.

Last reported payment date: 2024-08-30 • Largest payer in this snapshot: LEO Pharma Inc. ($27).

Total Amount

$94

General + Research + Ownership

Payments

4

Total payment records

General Amount

$94

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-30

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-03-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20260304003271IPhysician AssistantCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 90049)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6608990742View full group profile
NameSpecialtyState
Physician AssistantCA
Physician AssistantCA
-GA
-CA
Physician AssistantOH
-CA
General Practice, Family Practice, Internal MedicineCA
-CA
Physician AssistantNY

Reviews

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Frequently asked questions

Does BROOKE ERYN LEVINE (PHYSICIAN ASSISTANT) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — BROOKE ERYN LEVINE (PHYSICIAN ASSISTANT) uses 1306560107.
Is BROOKE ERYN LEVINE (PHYSICIAN ASSISTANT) listed as active for patients and plans?
The listing shows BROOKE ERYN LEVINE (PHYSICIAN ASSISTANT) as active in the NPI system.
What is BROOKE ERYN LEVINE (PHYSICIAN ASSISTANT)'s primary classification?
Physician Assistant is the headline specialty for BROOKE ERYN LEVINE (PHYSICIAN ASSISTANT) here. Clinical services aligned with this taxonomy classification.
What area does BROOKE ERYN LEVINE (PHYSICIAN ASSISTANT) serve?
BROOKE ERYN LEVINE (PHYSICIAN ASSISTANT)'s listing highlights Los Angeles, California; more addresses can appear in NPPES.
How many locations tie to this NPI?
6 practice locations appear in the available data.

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