Individual provider Active NPI

Debra A Brown, PA-C

  • Physician Assistant
  • Mesa, AZ
National Provider Identifier
1114274669
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10125 Issued in AZ
Practice address
1500 S Dobson Rd Ste 200
Mesa, AZ 85202-4724
Phone
(866) 974-2673
Fax
(866) 939-2673
NPI assigned
Aug 14, 2012
Last updated
Jun 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10125 AZ Primary
Physician Assistant 363A00000X 015800-1 NY
Medical Physician Assistant 363AM0700X PA60619751 WA

Addresses

Primary practice location

1500 S Dobson Rd Ste 200
Mesa, AZ 85202-4724

Mailing address

18444 N 25TH Ave Ste 310
Phoenix, AZ 85023-1266
Phone (866) 974-2673

Other practice location 1

2207 N Molter Rd Ste 101
Liberty Lake, WA 99019-7570
Phone (509) 324-1222

Other practice location 2

3591 S Mercy Rd Ste 204
Gilbert, AZ 85297-2240
Phone (866) 974-2673

Other practice location 3

18444 N 25th Ave Ste 210
Phoenix, AZ 85023-1264
Phone (866) 974-2673

Other practice location 4

1500 S Dobson Rd Ste 202
Mesa, AZ 85202-4724
Phone (866) 974-2373

Other practice location 5

14520 W Granite Valley Dr Ste 210
Sun City West, AZ 85375-5855
Phone (866) 974-2673

Other names 1

  • Debra Defelice Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, AZ, ID3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20170118001385 WA Practitioner - Physician Assistant 1355623877 Reassigns benefits to 1 organization
I20240124002597 AZ Practitioner - Physician Assistant 1355623877 Reassigns benefits to 1 organization
I20260429000957 ID Practitioner - Physician Assistant 1355623877 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10494 W Thunderbird Blvd
Sun City, AZ 85351-6122
Phone (866) 974-2673

14520 W Granite Valley Dr
Sun City West, AZ 85375-5855

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10125AZMDGeneral Practice Dentistry
015800-1NYMDOccupational Therapist
PA60619751WAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Orthopedic Research and Education LLC CurrentSince Mar 4, 2024 Accepting new patients
Providence Health & Services Washington CurrentSince Jan 15, 2023 Accepting new patients
Multicare Health System CurrentSince Mar 1, 2018 Accepting new patients
Center for Orthopedic Research and Educatoin CurrentSince Mar 4, 2024 Accepting new patients
Multicare Health System CurrentSince Mar 1, 2018 Accepting new patients
Center for Orthopedic Research and Education, LLC Physician Assistant Past Accepting new patients
Rockwood Clinic PS Past Accepting new patients

Locations

3591 S Mercy Rd
Ste 204
Gilbert, AZ 85297
Phone (623) 974-2673

1500 S Dobson Rd
Ste 200
Mesa, AZ 85202
Phone (480) 833-5437

1500 S Dobson Rd
Ste 202
Mesa, AZ 85202
Phone (669) 742-6738

18444 N 25th Ave
Ste 210
Phoenix, AZ 85023
Phone (669) 742-6738

18444 N 25th Ave
Ste 310
Phoenix, AZ 85023
Phone (623) 241-8706

10494 W Thunderbird Blvd
Ste 102
Sun City, AZ 85351
Phone (623) 975-8311

1200 E Columbia Ave
Colville, WA 99114
Phone (509) 684-3701

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

200 Lilly Rd NE
Ste C
Olympia, WA 98506
Phone (360) 918-8336

16528 E Desmet Ct
Spokane Valley, WA 99216
Phone (509) 944-8910

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

Interoperability endpoints

  • Direct secure messaging: dbrown746557@wm.providencedirect.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1114274669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18444 N 25TH AVE STE 310",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850231266",
            "telephone_number": "866-974-2673",
            "fax_number": "866-939-2673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S DOBSON RD STE 200",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024724",
            "telephone_number": "866-974-2673",
            "fax_number": "866-939-2673"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2207 N Molter Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Liberty Lake",
            "state": "WA",
            "postal_code": "990197570",
            "country_code": "US",
            "telephone_number": "509-324-1222",
            "fax_number": "509-324-1223",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3591 S Mercy Rd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852972240",
            "country_code": "US",
            "telephone_number": "866-974-2673",
            "fax_number": "866-939-2673",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18444 N 25th Ave Ste 210",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850231264",
            "country_code": "US",
            "telephone_number": "866-974-2673",
            "fax_number": "866-939-2673",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 S Dobson Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852024724",
            "country_code": "US",
            "telephone_number": "866-974-2373",
            "fax_number": "974-939-2673",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14520 W Granite Valley Dr Ste 210",
            "address_purpose": "LOCATION",
            "city": "Sun City West",
            "state": "AZ",
            "postal_code": "853755855",
            "country_code": "US",
            "telephone_number": "866-974-2673",
            "fax_number": "866-939-2373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "DEBRA",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-14",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "10125",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "015800-1",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA60619751",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "DEFELICE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.