NPIMap

Individual provider Active NPI

Jodie Brewer, PA-C

  • Physician Assistant
  • Anchorage, AK
National Provider Identifier
1609120013
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
103866 Issued in AK
Practice address
615 E 82ND Ave Ste 204
Anchorage, AK 99518-3159
Phone
(907) 865-8455
Fax
(913) 246-4901
NPI assigned
Nov 7, 2012
Last updated
Nov 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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 103866 AK Primary

Addresses

Primary practice location

615 E 82ND Ave Ste 204
Anchorage, AK 99518-3159

Mailing address

615 E 82ND Ave Ste 204
Anchorage, AK 99518-3159
Phone (907) 865-8455

Other practice location 1

615 E 82nd Ave Ste 302
Anchorage, AK 99518-3159
Phone (907) 865-8455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AK2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160111000327 TX Practitioner - Physician Assistant 6204072754 Reassigns benefits to 3 organizations
I20250617000383 AK Practitioner - Physician Assistant 6204072754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Touro Un Col of Osteopathic Medicine, New York, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anchorage Dermatology and Cosmetics LLCGroup PAC ID 7416288550, 5 clinicians

Practice addresses (Care Compare)

4315 Diplomacy Dr
Anchorage, AK 99508-5926
Phone (907) 563-2662

615 E 82ND Ave
Anchorage, AK 99518-3159
Phone (907) 865-8455

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.93 of 100Reported as group
Quality
70.1
Promoting interoperability
100
Improvement activities
40
Cost
83.01

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
016222NYMDClinical Psychologist
0964NHMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Native Tribal Health Consortium CurrentSince Dec 14, 2015 Accepting new patients
Bristol Bay Area Health Corporation CurrentSince Mar 28, 2017 Accepting new patients
Tanana Chiefs Conference CurrentSince Jul 5, 2024 Accepting new patients
Bristol Bay Area Health Corporation CurrentSince Mar 28, 2017 Accepting new patients
Nick H Gabriel DO PC PastSince Dec 1, 2009 Accepting new patients
Kodiak Area Native Association Past Accepting new patients
Kindae Dermatology and Aesthetics LLC PastSince Jun 8, 2025 Accepting new patients

Locations

4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729

4320 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-0000

122 1st Ave
Ste 106
Fairbanks, AK 99701

Interoperability endpoints

  • Direct secure messaging: jabrewer@direct.anthc.org
  • Direct secure messaging: jodie.brewer.1@15989.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1352246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1609120013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 E 82ND AVE STE 204",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995183159",
            "telephone_number": "907-865-8455",
            "fax_number": "913-246-4901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 E 82ND AVE STE 204",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995183159",
            "telephone_number": "907-865-8455",
            "fax_number": "913-246-4901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "615 E 82nd Ave Ste 302",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995183159",
            "country_code": "US",
            "telephone_number": "907-865-8455",
            "fax_number": "913-246-4901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREWER",
        "first_name": "JODIE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-07",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AK",
            "license": "103866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.