Individual provider Active NPI

Caitlin Elizabeth Brazle, PA-C

  • Physician Assistant
  • Oak Harbor, WA
National Provider Identifier
1255918975
Registry record updated Oct 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2084 Pine Wood Way
Oak Harbor, WA 98277-7321
Phone
(248) 225-9648
NPI assigned
Mar 27, 2021
Last updated
Oct 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

2084 Pine Wood Way
Oak Harbor, WA 98277-7321

Mailing address

2084 Pine Wood Way
Oak Harbor, WA 98277-7321
Phone (248) 225-9648

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20220126000848 WA Practitioner - Physician Assistant 4587056403 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1300 NE Goldie St
Oak Harbor, WA 98277-4832

275 SE Cabot Dr
B101 Whidbeyhealth Primary Care
Oak Harbor, WA 98277-3740
Phone (360) 675-6648

77 N Main St
Coupeville, WA 98239-9556
Phone (360) 682-2814

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
WGH Primary Care Associates, P.S. Current Accepting new patients
Whidbey Island Public Hospital District CurrentSince Jan 31, 2022 Accepting new patients
Whidbey Island Public Hospital District CurrentSince Jan 31, 2022 Accepting new patients
Whidbey Island Public Hospital District CurrentSince Jan 31, 2022 Accepting new patients
Whidbey Island Public Hospital District Past Accepting new patients
Whidbey Island Public Hospital District Past Accepting new patients

Locations

101 N Main St
Coupeville, WA 98239
Phone (360) 678-7656

275 SE Cabot Dr
Ste B101
Oak Harbor, WA 98277
Phone (360) 675-6648

Interoperability endpoints

  • Direct secure messaging: caitlin.brazle@wh.jhie.net

Organizations & group practices 6

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.

Hospital & facility affiliations 7

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": "1616803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635552000000",
    "number": "1255918975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2084 PINE WOOD WAY",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982777321",
            "telephone_number": "248-225-9648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2084 PINE WOOD WAY",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982777321",
            "telephone_number": "248-225-9648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAZLE",
        "first_name": "CAITLIN",
        "middle_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-27",
        "last_updated": "2021-10-30",
        "certification_date": "2021-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Harbor, WA

Sources for this page

Verify at the official NPI Registry.