Individual provider Active NPI

Andrew Shields Brown, PA-C

  • Surgical Physician Assistant
  • Portland, OR
National Provider Identifier
1760823900
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA213593 Issued in OR
Practice address
10000 SE Main St Ste 365
Portland, OR 97216-2474
Phone
(503) 261-4430
Fax
(503) 261-4436
NPI assigned
Jul 16, 2013
Last updated
May 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 055-0031643 VT
Physician Assistant 363A00000X PA662 WY
Physician Assistant 363A00000X PA60485019 WA
Physician Assistant 363A00000X 0110008975 VA
Surgical Physician Assistant 363AS0400X PA213593 OR Primary
Student in an Organized Health Care Education/Training Program 390200000X WA

Addresses

Primary practice location

10000 SE Main St Ste 365
Portland, OR 97216-2474

Mailing address

10000 SE Main St Ste 365
Portland, OR 97216-2474
Phone (503) 261-4430

Other practice location 1

805 E 2nd St Ste 3
Casper, WY 82601-2622
Phone (307) 237-2300

Other practice location 2

3300 Gallows Rd
Falls Church, VA 22042-3307
Phone (703) 776-4001

Other practice location 3

111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-4152

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, WY, VT, DC, OR, TN, NC7 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 7

Enrollment IDStateProvider typePAC IDDetails
I20140825002786 WA Practitioner - Physician Assistant 8022236538 Reassigns benefits to 2 organizations
I20160420001423 WY Practitioner - Physician Assistant 8022236538 Reassigns benefits to 2 organizations
I20230127001496 VT Practitioner - Physician Assistant 8022236538 Reassigns benefits to 1 organization
I20230426000032 DC Practitioner - Physician Assistant 8022236538 Reassigns benefits to 1 organization
I20240404004137 OR Practitioner - Physician Assistant 8022236538 Reassigns benefits to 1 organization
I20241212002153 TN Practitioner - Physician Assistant 8022236538
I20250307001834 NC Practitioner - Physician Assistant 8022236538 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kadlec Regional Medical CenterGroup PAC ID 9739098617, 402 clinicians
Salem HealthGroup PAC ID 8628986668, 470 clinicians

Practice addresses (Care Compare)

1100 Goethals Dr
Suite E
Richland, WA 99352-3301
Phone (509) 942-2986

665 Winter St SE
Salem, OR 97301-3934
Phone (503) 561-5200

890 Oak St SE
Salem, OR 97301-3905
Phone (503) 561-5200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
055-0031643VTMDPhysician Assistant
PA60485019WAMDPhysician Assistant
PA662WYMDPhysician Assistant
PA213593ORMDSurgical Physician Assistant
6192TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Frye Medical Group LLC CurrentSince Jan 13, 2025 Accepting new patients
Banner Health Physicians West LLC CurrentSince Dec 1, 2023 Accepting new patients
Multicare Health System CurrentSince Mar 28, 2022 Accepting new patients
Multicare Health System CurrentSince Mar 28, 2022 Accepting new patients
Salem Health CurrentSince Oct 3, 2024 Accepting new patients
Salem Health CurrentSince Oct 3, 2024 Accepting new patients
University of Vermont Medical Center Inc CurrentSince Jan 4, 2023 Accepting new patients
Inova Health Care Services CurrentSince Mar 7, 2023 Accepting new patients
Inova Health Care Services CurrentSince Mar 7, 2023 Accepting new patients
Wyoming Medical Center, Inc. CurrentSince Nov 13, 2016 Accepting new patients
DLP Frye Medical Group LLC Physician Assistant Past Accepting new patients
Wyoming Cardiac Surgery Past Accepting new patients

Locations

915 Tate Blvd SE
Ste 182
Hickory, NC 28602
Phone (828) 322-2005

915 Tate Blvd SE
Ste 186
Hickory, NC 28602
Phone (828) 449-8458

665 Winter St SE
Salem, OR 97301
Phone (503) 370-5634

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

8503 Arlington Blvd
Fairfax, VA 22031
Phone (703) 970-2670

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531

111 Colchester Ave
Burlington, VT 05401
Phone (802) 656-2415

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

1020 S Conwell St
Casper, WY 82601
Phone (307) 265-3622

1230 E 1st St
Casper, WY 82601
Phone (307) 266-3174

1233 E 2nd St
Casper, WY 82601
Phone (307) 577-2171

1106 Big Horn Ave
Worland, WY 82401
Phone (307) 347-3221

Interoperability endpoints

  • Direct secure messaging: abrown653174@direct.multicare.org

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 2

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": "1373932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1760823900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 SE MAIN ST STE 365",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162474",
            "telephone_number": "503-261-4430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 SE MAIN ST STE 365",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162474",
            "telephone_number": "503-261-4430",
            "fax_number": "503-261-4436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "805 E 2nd St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Casper",
            "state": "WY",
            "postal_code": "826012622",
            "country_code": "US",
            "telephone_number": "307-237-2300",
            "fax_number": "307-237-1346",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3300 Gallows Rd",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220423307",
            "country_code": "US",
            "telephone_number": "703-776-4001",
            "fax_number": "703-776-7113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 Colchester Ave",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "VT",
            "postal_code": "054011473",
            "country_code": "US",
            "telephone_number": "802-847-4152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ANDREW",
        "middle_name": "SHIELDS",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-16",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VT",
            "license": "055-0031643",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WY",
            "license": "PA662",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60485019",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110008975",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "OR",
            "license": "PA213593",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "WA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.