Individual provider Active NPI

Brie Kelley Fowler, FNP-C

  • Nurse Practitioner
  • Burlingame, CA
National Provider Identifier
1245124288
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95033669 Issued in CA
Practice address
225 California Dr
Burlingame, CA 94010-4145
Phone
(415) 225-7656
NPI assigned
Jun 4, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oncology Registered Nurse 163WX0200X 802658 CA
Nurse Practitioner 363L00000X 95033669 CA Primary

Addresses

Primary practice location

225 California Dr
Burlingame, CA 94010-4145

Mailing address

1265 Alemany Blvd
San Francisco, CA 94112-1403
Phone (415) 225-7656

Other practice location 1

218 De Anza Blvd
San Mateo, CA 94402-3913
Phone (415) 225-7656

Other names 1

  • Brie Kelley Wetmore Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250829004657 CA Practitioner - Nurse Practitioner 3678074655 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
UCSF Medical Group Business ServicesGroup PAC ID 3779497870, 1,533 clinicians

Practice addresses (Care Compare)

225 California Dr
Burlingame, CA 94010-4145
Phone (650) 341-9131

400 Parnassus Ave
San Francisco, CA 94143-2202

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco CurrentSince Jun 27, 2025 Accepting new patients
Regents of the University of California CurrentSince Jun 27, 2025 Accepting new patients
University of California San Francisco CurrentSince Jun 27, 2025 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jun 27, 2025 Accepting new patients
UCSF Medical Group Business Services Nurse Practitioner CurrentSince Jun 27, 2025 Accepting new patients
Regents of the University of California Past Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients

Locations

225 California Dr
Burlingame, CA 94010
Phone (415) 353-2002

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

218 De Anza Blvd
San Mateo, CA 94402
Phone (650) 341-9131

Interoperability endpoints

  • Direct secure messaging: bfowler424944@direct-ucsfmedicalcenter.org

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1748995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1245124288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 ALEMANY BLVD",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941121403",
            "telephone_number": "415-225-7656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 CALIFORNIA DR",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940104145",
            "telephone_number": "415-225-7656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "218 De Anza Blvd",
            "address_purpose": "LOCATION",
            "city": "San Mateo",
            "state": "CA",
            "postal_code": "944023913",
            "country_code": "US",
            "telephone_number": "415-225-7656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "BRIE",
        "middle_name": "KELLEY",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-04",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WX0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Oncology",
            "state": "CA",
            "license": "802658",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95033669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIE",
            "last_name": "WETMORE",
            "middle_name": "KELLEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Burlingame, CA

Sources for this page

Verify at the official NPI Registry.