Individual provider Active NPI

Ann Chang Brewer, M.D.

  • Dermatology Physician
  • Kalispell, MT
National Provider Identifier
1235573114
Registry record updated Mar 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
56288 Issued in MT
Practice address
175 Commons Loop Ste 300
Kalispell, MT 59901-1904
Phone
(406) 756-7555
NPI assigned
Apr 23, 2013
Last updated
Mar 27, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 49545 AZ
Dermatology Physician 207N00000X R73761 AZ
Dermatology Physician 207N00000X 56288 MT Primary

Addresses

Primary practice location

175 Commons Loop Ste 300
Kalispell, MT 59901-1904

Mailing address

1300 N Holopono St
Ste 215
Kihei, HI 96753-6945
Phone (808) 874-3444

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190603000917 HI Practitioner - Dermatology 3779713441 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Arizona College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ann C Brewer MD IncGroup PAC ID 7517341167, 2 clinicians
Hana HealthGroup PAC ID 0749192920, 15 clinicians

Practice addresses (Care Compare)

30 Kupaoa St
A208
Makawao, HI 96768-6216
Phone (808) 207-6563

4590 Hana Hwy
Hana, HI 96713
Phone (808) 248-8294

P O Box
Hana, HI 96713-0807

PO Box
Hana, HI 96713

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision21
Removal of skin lesions687
Removal or shaving of skin growth1-10
Skin biopsy143

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
49545AZMDDermatology Physician
56288MTMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oculofacial Plastic Surgery of Hawaii Inc CurrentSince Aug 1, 2023 Accepting new patients
Ann C Brewer MD Inc Dermatology CurrentSince Jan 1, 2023 Accepting new patients
Amy Reisenauer MD LLC Dermatology CurrentSince Jun 1, 2019 Accepting new patients
Hana Health CurrentSince Dec 9, 2024 Accepting new patients

Locations

1300 N Holopono St
Ste 215
Kihei, HI 96753
Phone (808) 874-3444

30 Kupaoa St
#A207
Makawao, HI 96768
Phone (808) 207-6563

30 Kupaoa St
#A208
Makawao, HI 96768
Phone (808) 207-6563

Interoperability endpoints

  • Direct secure messaging: ann.brewer.1@9596.direct.athenahealth.com

Organizations & group practices 4

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": "1366675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553644800000",
    "number": "1235573114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N HOLOPONO ST",
            "address_2": "STE 215",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967536945",
            "telephone_number": "808-874-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 COMMONS LOOP STE 300",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599011904",
            "telephone_number": "406-756-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREWER",
        "first_name": "ANN",
        "middle_name": "CHANG",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-23",
        "last_updated": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AZ",
            "license": "49545",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AZ",
            "license": "R73761",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MT",
            "license": "56288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalispell, MT

Sources for this page

Verify at the official NPI Registry.