NPIMap

Individual provider Active NPI

Jodie Brewer-Peet, PA-C

  • Medical Physician Assistant
  • Camano Island, WA
National Provider Identifier
1003247693
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA60436751 Issued in WA
Practice address
127 NE Camano Dr Ste a
Camano Island, WA 98282-8732
Phone
(360) 387-5398
Fax
(360) 629-1644
NPI assigned
Dec 6, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA60436751 WA Primary

Addresses

Primary practice location

127 NE Camano Dr Ste a
Camano Island, WA 98282-8732

Mailing address

1400 E Kincaid St
Mount Vernon, WA 98274-4127

Other names 1

  • Jodie Brewer Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jbrewerpeet35997@skagit.direct-ci.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140717001817 WA Practitioner - Physician Assistant 1254557838 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Public Hospital Dist No 1 Skagit 321 clinicians

Practice addresses (Care Compare)

127 NE Camano Dr
Suite A117
Camano Island, WA 98282-8732
Phone (360) 387-5398

1400 E Kincaid St
Mount Vernon, WA 98274-4127
Phone (360) 428-2500

3823 172ND St NE
Arlington, WA 98223-7735

9631 269TH St NW
Stanwood, WA 98292-8071
Phone (360) 629-1600

Hospital & facility affiliations

  • Signature Healthcare at Home Home health agency, Burlington, WA, CCN 507100
  • Eden Home Health Home health agency, Bellingham, WA, CCN 507105
  • Skagit Valley Hospital Hospital, Mount Vernon, WA, CCN 500003
  • Cascade Valley Hospital Hospital, Arlington, WA, CCN 500060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA60436751WAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth CurrentSince Apr 22, 2014 Accepting new patients
Public Hospital Dist No 1 Skagit CurrentSince Jul 19, 2021 Accepting new patients
Public Hospital Dist No 1 Skagit Past Accepting new patients

Locations

127 NE Camano Dr
Ste A
Camano Island, WA 98282
Phone (360) 387-5398

1615 Delaware St
Longview, WA 98632
Phone (360) 363-4818

1400 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 428-2586

9631 269th St NW
Stanwood, WA 98292
Phone (360) 629-1600

1115 SE 164th Ave
Dept 358
Vancouver, WA 98683
Phone (360) 729-1253

Interoperability endpoints

  • Direct secure messaging: jbrewerpeet35997@skagit.direct-ci.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1386288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1003247693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E KINCAID ST",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982744127",
            "fax_number": "360-445-8592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 NE CAMANO DR STE A",
            "city": "CAMANO ISLAND",
            "state": "WA",
            "postal_code": "982828732",
            "telephone_number": "360-387-5398",
            "fax_number": "360-629-1644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREWER-PEET",
        "first_name": "JODIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-06",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA60436751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbrewerpeet35997@skagit.direct-ci.com",
            "affiliation": "N",
            "endpointDescription": "Provider Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "127 NE Camano Dr Ste A",
            "city": "Camano Island",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982828732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JODIE",
            "last_name": "BREWER",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Camano Island, WA

Sources for this page

Verify at the official NPI Registry.