Brian Michael Nobach

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

4404 80TH St NE
Marysville, WA 98270-3427

Phone

(360) 659-1231

Fax

(360) 659-7267

NPI assigned

Aug 24, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Western Washington Medical Group Inc PSGroup PAC ID 7517870314, 111 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Providence at Home With Compassus, Snohomish County Home health agency, Everett, WA, CCN 507065
• Providence Regional Medical Center Everett Hospital, Everett, WA, CCN 500014

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Western Washington Medical Group, Inc PS

  • Psychiatry Physician
  • Everett, WA
  • NPI 1396413803
  Medicare reassignment Care Compare group
• Western Washington Medical Group, Inc PS

  • Infectious Disease Physician
  • Everett, WA
  • NPI 1427816305
  NPD
• Western Washington Medical Group, Inc PS

  • Gastroenterology Physician
  • Everett, WA
  • NPI 1023065919
  NPD (past)

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

• CP Snohomish County Wa, LLC

  • Home Health Agency
  • Everett, WA
  • NPI 1720800857
  Care Compare affiliation
• Providence Health & Services-Wa

  • Hospitalist Physician
  • Everett, WA
  • NPI 1649615220
  Care Compare affiliation
• Providence Health & Services-Wa

  • General Acute Care Hospital
  • Everett, WA
  • NPI 1700037801
  Care Compare affiliation

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

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1386257905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1728 W MARINE VIEW DR STE 110",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982012094",
            "telephone_number": "425-259-4041",
            "fax_number": "425-252-6642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4404 80TH ST NE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982703427",
            "telephone_number": "360-659-1231",
            "fax_number": "360-659-7267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOBACH",
        "first_name": "BRIAN",
        "middle_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-24",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Georgette Newman-Skomski, ARNP, FNP-C
• Emily Camchau DO Nguyen, O.D.
• Julian Nghia Nguyen, DDS
• Tuyen M Nguyen, MD
• Sheldon Nichols, M.S.
• Douglas Arthur Nordstrom, D.C.
• Northwest Center for Optimal Health Inc
• Joyce Ramos Nuesca, MD
• Veronicah Njeri Nyaga
• Jennie Collier O'Brien, DPT

• Physician Assistant in Marysville, WA
• Providers in Marysville, WA by specialty
• Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.