AMY BROOKMAN (PA-C) – Surgical Physician Assistant, NPI 1871106187
Surgical Physician Assistant
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
4,285 PHYSICIAN ASSISTANT in WA
Provider Addresses for AMY BROOKMAN (PA-C)
1700 116TH AVE NE FL 2
BELLEVUE, WA 980043022
Phone: (425) 209-0840
Type: Location
1400 E KINCAID ST
MOUNT VERNON, WA 982744127
Phone:
Type: Mailing
328 S STILLAGUAMISH AVE
ARLINGTON, WA 982231660
Phone: (360) 435-6097
Fax: (360) 848-4565
Type: Location
4311 11TH AVE NE STE 200
SEATTLE, WA 981056367
Phone: (206) 616-4001
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 46 Open Payments records for all available years, with a total value of $1,267.
Total Amount is formed as General ($1,267) + Research ($0) + Ownership ($0) = $1,267.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($231).
Total Amount
$1,267
General + Research + Ownership
Payments
46
Total payment records
General Amount
$1,267
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $231 |
| CSL Behring | $149 |
| Regeneron Healthcare Solutions, Inc. | $118 |
| GlaxoSmithKline, LLC. | $113 |
| GENZYME CORPORATION | $102 |
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: 2022-06-14
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220614000374 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 13 | 11 | $0 |
Insurance plans in this area (ZIP 98004)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | NY | |
| Otolaryngology, Allergy/Immunology, Plastic And Reconstructive Surgery, Surgical Oncology | WA | |
| Nurse Practitioner | WA | |
| Nurse Practitioner | WA | |
| - | WA | |
| Orthopedic Surgery | WA | |
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology) | WA | |
| Internal Medicine | WA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | WA | |
| G A S T R O E N T E R O L O G Y | WA |
Reviews
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