SALLY LUCILLE BROWN (P.A.) – Physician Assistant, NPI 1881709038

SALLY LUCILLE BROWN (P.A.) is a healthcare provider. based in Toppenish, Washington. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. They hold a License No. PA60002097 (WA). The NPI Number for SALLY LUCILLE BROWN (P.A.) is 1881709038

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
SALLY LUCILLE BROWN (P.A.)
NPI
1881709038
Phone
(509) 865-2102
Address
401 BUSTER RD
Enumeration Date
20 August 2006
Last Update Date
2 December 2025

Doctor Profile

Medical School Name
UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Secondary Phone
5419669830
Graduation Year
2002 (24 years ago)
PAC ID
9032217179
Group Practice PAC ID
6608924121
Professional Enrollment ID
I20070613000289
Address ID
OR978019417PE46314WAYX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:19State licenses:2Digital endpointsOther names

4,282 PHYSICIAN ASSISTANT in WA

Provider Addresses for SALLY LUCILLE BROWN (P.A.)

  • 401 BUSTER RD

    TOPPENISH, WA 989489792

    Phone: (509) 865-2102

    Type: Mailing

  • 46314 TIMINE WAY

    PENDLETON, OR 978019417

    Phone: (541) 240-8548

    Fax: (541) 240-8750

    Type: Mailing

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: 2010-04-29

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070613000289IPhysician AssistantTXTBD
I20100429001240IPhysician AssistantWATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes123119$0
99204New patient office or other outpatient visit, 45-59 minutes101101$0
81003Automated urinalysis test5049$0
71046X-ray of chest, 2 views3838$0
87880Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)1817$0
View full utilization report →

Insurance plans in this area (ZIP 98948)

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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: 6608924121View full group profile
NameSpecialtyState
Physical Therapist In Private PracticePA
Physician AssistantOR
Physical Therapist In Private PracticeNV
Registered Dietitian Or Nutrition ProfessionalOR
Nurse PractitionerWA
Physical Therapist In Private PracticeCA
-OR
Clinical Social WorkerOR
-OR
P O D I A T R YOH

Reviews

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Frequently asked questions

What is the registry number for SALLY LUCILLE BROWN (P.A.)?
The registry entry for SALLY LUCILLE BROWN (P.A.) shows NPI 1881709038.
Does the public listing show SALLY LUCILLE BROWN (P.A.) as active?
SALLY LUCILLE BROWN (P.A.)'s NPI record reflects an active status in NPPES.
Which specialty label fits SALLY LUCILLE BROWN (P.A.)?
NPPES ties SALLY LUCILLE BROWN (P.A.) to Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to SALLY LUCILLE BROWN (P.A.)?
The directory associates SALLY LUCILLE BROWN (P.A.) with Toppenish, Washington. Check all listed addresses for suites or satellite offices.
Who maintains SALLY LUCILLE BROWN (P.A.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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