NPIMap

Individual provider Active NPI

Brandy Jane Manchester, PA

  • Physician Assistant
  • Spokane, WA
National Provider Identifier
1285960708
Registry record updated Oct 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA60118161 Issued in WA
Practice address
122 W 7TH Ave
Suite 450
Spokane, WA 99204-2332
Phone
(509) 838-2960
Fax
(509) 462-3142
NPI assigned
Oct 19, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2010

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 PA60118161 WA Primary

Addresses

Primary practice location

122 W 7TH Ave
Suite 450
Spokane, WA 99204-2332

Mailing address

400 E 5TH Ave
Spokane, WA 99204-2332
Phone (509) 342-3759

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180209000071 NY Practitioner - Physician Assistant 4183768740 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saratoga Regional Medical , P.CGroup PAC ID 9032438544, 23 clinicians

Practice addresses (Care Compare)

16 Degrandpre Way
Suite 100
Plattsburgh, NY 12901-6452
Phone (518) 262-0900

2911 State Route 9
Ballston Spa, NY 12020-3975
Phone (518) 587-2400

Hospital & facility affiliations

  • HCR / HCR Home Care Chha (Plattsburgh) Home health agency, Plattsburgh, NY, CCN 337024
  • The University of Vermont Health Network - Champl Hospital, Plattsburgh, NY, CCN 330250
  • The University of Vermont Health Network-Alice Hy Hospital, Malone, NY, CCN 331321
  • Adirondack Medical Center - Saranac Lake Hospital, Saranac Lake, NY, CCN 330079

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
019553NYMDSpeech-Language Pathologist
PA60118161WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Saratoga Hospital CurrentSince May 5, 2025 Accepting new patients
Saratoga Regional Medical , P.C CurrentSince May 5, 2025 Accepting new patients
Saratoga Regional Medical , P.C CurrentSince May 5, 2025 Accepting new patients
John C. Herzog, DO, PLLC CurrentSince Apr 28, 2022 Accepting new patients
Saratoga Hospital CurrentSince May 5, 2025 Accepting new patients
Saratoga Hospital Past Accepting new patients
Inland Cardiology Associates, P.S. PastSince Aug 25, 2014 Accepting new patients
Cca of Spokane, LLC Past Accepting new patients
Providence Health & Services-Wa Past Accepting new patients

Locations

7 Murray St
Glens Falls, NY 12801
Phone (518) 743-1010

100 Park St
Glens Falls, NY 12801
Phone (518) 926-5924

2911 State Route 9
Ste 1
Malta, NY 12020
Phone (518) 363-8815

1275 Broadway
#106
Menands, NY 12204
Phone (518) 262-9705

16 Degrandpre Way
Ste 100
Plattsburgh, NY 12901
Phone (518) 262-0900

3044 Route 50
Saratoga Springs, NY 12866
Phone (518) 886-5800

1 West Ave
Ste 300
Saratoga Springs, NY 12866
Phone (518) 693-4699

Interoperability endpoints

  • Direct secure messaging: bmanchester139187@albanymed.direct-ci.com

Organizations & group practices 12

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.

Hospital & facility affiliations 8

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": "1255910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286323200000",
    "number": "1285960708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E 5TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042332",
            "telephone_number": "509-342-3759",
            "fax_number": "509-342-3761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 W 7TH AVE",
            "address_2": "SUITE 450",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042332",
            "telephone_number": "509-838-2960",
            "fax_number": "509-462-3142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCHESTER",
        "first_name": "BRANDY",
        "middle_name": "JANE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-19",
        "last_updated": "2010-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60118161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.