Individual provider Active NPI

Brenna Cain

  • Family Nurse Practitioner
  • Spokane, WA
National Provider Identifier
1528533759
Registry record updated Mar 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60910048 Issued in WA
Practice address
120 W Mission Ave
Spokane, WA 99201-2358
Phone
(509) 326-4343
Fax
(509) 329-2280
NPI assigned
Oct 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 32518 WY
Nurse Practitioner 363L00000X RN60909203 WA
Family Nurse Practitioner 363LF0000X AP60910048 WA Primary

Addresses

Primary practice location

120 W Mission Ave
Spokane, WA 99201-2358

Mailing address

120 W Mission Ave
Spokane, WA 99201-2358
Phone (509) 326-4343

Other practice location 1

5208 N Hawthorne St
Spokane, WA 99205-5440
Phone (307) 217-2740

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bcain27599@yvfwc.direct-ci.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR, MT3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20190301000874 WA Practitioner - Nurse Practitioner 6507105996 Reassigns benefits to 1 organization
I20231211000489 OR Practitioner - Nurse Practitioner 6507105996 Reassigns benefits to 1 organization
I20240103000750 MT Practitioner - Nurse Practitioner 6507105996 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Express Care Wa PCGroup PAC ID 6800128067, 64 clinicians
Express Care Or PCGroup PAC ID 1254768732, 60 clinicians

Practice addresses (Care Compare)

10258 W Sunset Hwy
Suite 6
Spokane, WA 99224
Phone (888) 227-3312

3624 Brooks St
Suite 101
Missoula, MT 59801-7338
Phone (888) 227-3312

Hospital & facility affiliations

  • St. Patrick Hospital Hospital, Missoula, MT, CCN 270014

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32518WYMDGeneral Practice Registered Nurse
RN60909203WAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Express Care Or PC CurrentSince Nov 28, 2023 Accepting new patients
Express Care Wa PC CurrentSince Jan 1, 2023 Accepting new patients
Providence Health & Services - Washington Past Accepting new patients

Locations

3624 Brooks St
Ste 101
Missoula, MT 59801

1336 NE Orenco Station Pkwy
Hillsboro, OR 97124

1840 E Portland Rd
Newberg, OR 97132
Phone (503) 538-9360

718 91st Ave NE
Lake Stevens, WA 98258
Phone (425) 334-1523

10258 W Sunset Hwy
Ste 6
Spokane, WA 99224

Interoperability endpoints

  • Direct secure messaging: bcain2699091@wm.providencedirect.org
  • Direct secure messaging: bcain2699946@oc.providencedirect.org

Organizations & group practices 3

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 4

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": "1538524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614816000000",
    "number": "1528533759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W MISSION AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012358",
            "telephone_number": "509-326-4343",
            "fax_number": "509-329-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W MISSION AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012358",
            "telephone_number": "509-326-4343",
            "fax_number": "509-329-2280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5208 N Hawthorne St",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992055440",
            "country_code": "US",
            "telephone_number": "307-217-2740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAIN",
        "first_name": "BRENNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-03",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "WY",
            "license": "32518",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "RN60909203",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60910048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bcain27599@yvfwc.direct-ci.com",
            "affiliation": "N",
            "endpointDescription": "YVFWC Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "120 W Mission Ave",
            "city": "Spokane",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992012358",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.