Brandon Robert Braaksma, PA-C

Key facts

NPI

1275152142

Entity type

Individual (NPI type 1)

Primary specialty

Physician Assistant 363A00000X

License

8066 (AZ)

Practice address

13400 E Shea Blvd
Scottsdale, AZ 85259-5499

Phone

(480) 301-8000

NPI assigned

Apr 10, 2020

Sex

Male

Sole proprietor

No

Organizations & group practices 10

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.

• Mayo Clinic Arizona Multi-Specialty Clinic/Center · Scottsdale, AZ · NPI 1558332494
  Medicare reassignment Care Compare group NPD AZ
• Mayo Clinic Arizona Durable Medical Equipment & Medical Supplies · Phoenix, AZ · NPI 1699520049
  Care Compare group NPD
• Mayo Clinic Arizona General Acute Care Hospital · Phoenix, AZ · NPI 1154392231
  Care Compare group
• Mayo Clinic Arizona Durable Medical Equipment & Medical Supplies · Scottsdale, AZ · NPI 1255302113
  Care Compare group
• Mayo Clinic Arizona Ambulatory Surgical Clinic/Center · Scottsdale, AZ · NPI 1427029396
  Care Compare group
• Mayo Clinic Arizona Durable Medical Equipment & Medical Supplies · Phoenix, AZ · NPI 1487663332
  Care Compare group
• Mayo Clinic Arizona Durable Medical Equipment & Medical Supplies · Tempe, AZ · NPI 1508575028
  Care Compare group
• Mayo Clinic Arizona Clinical Medical Laboratory · Scottsdale, AZ · NPI 1528039484
  Care Compare group
• Mayo Clinic Arizona Durable Medical Equipment & Medical Supplies · Tempe, AZ · NPI 1871099663
  Care Compare group
• Mayo Clinic Arizona Community/Retail Pharmacy · Phoenix, AZ · NPI 1902877855
  Care Compare group

Hospital & facility affiliations 1

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

• Mayo Clinic Arizona General Acute Care Hospital · Phoenix, AZ · NPI 1154392231
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mayo Clinic Arizona (1,618 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mayo Clinic Hospital Hospital · Phoenix, AZ · CCN 030103

Merit-based Incentive Payment System (MIPS)

Final score

86.47 of 100 (group)

Quality

78.27

Promoting interoperability

100

Improvement activities

40

Cost

76.62

Medicare participation

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bbraaksma1183288@ehrdirect.mayoclinicmsg.org

Specialties & licenses

Addresses

Electronic endpoints

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 4, 2021.

{
    "created_epoch": "1586476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1275152142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13400 E SHEA BLVD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852595499",
            "telephone_number": "480-301-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13400 E SHEA BLVD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852595499",
            "telephone_number": "480-301-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAAKSMA",
        "first_name": "BRANDON",
        "middle_name": "ROBERT",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-10",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "8066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bbraaksma1183288@ehrdirect.mayoclinicmsg.org",
            "affiliation": "N",
            "address_1": "13400 E Shea Blvd",
            "city": "Scottsdale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852595499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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All providers in Scottsdale, AZ · Physician Assistant in Arizona