BREE KAIZEN (PA) – Surgical Physician Assistant, NPI 1285168765
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for BREE KAIZEN (PA)
501, Boylston Street, Brookline, Norfolk County, Massachusetts, 02445, United States
#1
BROOKLINE, MA 024456000
Phone:
Type: Mailing
Children's Hospital Library, 300, Longwood Avenue, Roxbury, Boston, Suffolk County, Massachusetts, 02120, United States
BOSTON, MA 021155724
Phone: (617) 355-6000
Type: Location
280 CHESTNUT STREET
2ND FLOOR
SPRINGFIELD, MA 011991001
Phone: (413) 794-5700
Type: Mailing
2 MEDICAL CENTER DRIVE
SPRINGFIELD, MA 011071273
Phone: (413) 794-5550
Fax: (413) 794-4212
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2024-06-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170821001746 | I | Physician Assistant | MA | TBD |
| I20191031000717 | I | Physician Assistant | NM | TBD |
| I20240625003835 | I | Physician Assistant | TN | TBD |
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.
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 02445)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WA | |
| - | NM | |
| - | NM | |
| - | NM | |
| - | NM | |
| Cardiovascular Disease (Cardiology) | NM | |
| Emergency Medicine | NM | |
| - | NM | |
| - | NM | |
| H E M A T O L O G Y/ O N C O L O G Y | NM |
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