BRANDON LANE WHITLOCK (AG-ACNP) – Family Nurse Practitioner, NPI 1124353719
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,261 NURSE PRACTITIONER in WA
Provider Addresses for BRANDON LANE WHITLOCK (AG-ACNP)
PO BOX 189
CLARKSTON, WA 994030189
Phone: (509) 758-1119
Fax: (509) 758-1140
Type: Mailing
1119 HIGHLAND AVE STE 7
CLARKSTON, WA 994032836
Phone: (509) 758-1119
Type: Location
627 6th Ave
Lewiston, ID 835012424
Phone: (208) 746-7784
Type: Location
1625, 5th Street, Clarkston, Asotin County, Washington, 99403, United States
CLARKSTON, WA 994033001
Phone: (509) 295-8398
Fax: (509) 295-8416
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $69.
Total Amount is formed as General ($69) + Research ($0) + Ownership ($0) = $69.
Last reported payment date: 2024-10-22 • Largest payer in this snapshot: Organogenesis Inc. ($27).
Total Amount
$69
General + Research + Ownership
Payments
3
Total payment records
General Amount
$69
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Organogenesis Inc. | $27 |
| COLOPLAST CORP | $23 |
| Solventum Corporation | $19 |
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: 2021-12-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20201124003092 | I | Nurse Practitioner | ID | TBD |
| I20211214002643 | I | Nurse Practitioner | WA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 232 | 73 | $0 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 74 | 26 | $0 |
| 99305 | Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes | 28 | 26 | $0 |
Insurance plans in this area (ZIP 99403)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | UT | |
| - | ID | |
| Interventional Radiology | WA | |
| Family Practice | ID | |
| - | ID | |
| Nurse Practitioner | ID | |
| H E M A T O L O G Y/ O N C O L O G Y | ID | |
| General Surgery | CO | |
| Orthopedic Surgery | ID | |
| - | ID |
Reviews
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