Individual provider Active NPI

Amy Brookman, PA-C

  • Surgical Physician Assistant
  • Arlington, WA
National Provider Identifier
1871106187
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA61237369 Issued in WA
Practice address
328 S Stillaguamish Ave
Arlington, WA 98223-1660
Phone
(360) 435-6097
Fax
(360) 848-4565
NPI assigned
Aug 26, 2020
Last updated
Aug 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 61237369 WA
Surgical Physician Assistant 363AS0400X PA61237369 WA Primary

Addresses

Primary practice location

328 S Stillaguamish Ave
Arlington, WA 98223-1660

Mailing address

1400 E Kincaid St
Mount Vernon, WA 98274-4127

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address abrookman63361@skagit.direct-ci.com Direct

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220614000374 WA Practitioner - Physician Assistant 6608255120 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Public Hospital Dist No 1 SkagitGroup PAC ID 6800793522, 321 clinicians

Practice addresses (Care Compare)

1400 E Kincaid St
Mount Vernon, WA 98274-4127
Phone (360) 428-2500

1415 E Kincaid St
Mount Vernon, WA 98274-4126
Phone (360) 416-5750

330 S Stillaguamish Ave
Arlington, WA 98223-1642
Phone (360) 435-2133

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
61237369WAMDAllergy & Immunology Physician
PA61237369WAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Public Hospital Dist No 1 Skagit CurrentSince Aug 11, 2025 Accepting new patients
Western Washington Medical Group, Inc PS CurrentSince Aug 9, 2023 Accepting new patients
Western Washington Medical Group, Inc PS CurrentSince Aug 9, 2023 Accepting new patients
Public Hospital Dist No 1 Skagit Past Accepting new patients
Columbia Medical PLLC Allergy & Immunology PastSince Nov 12, 2024 Accepting new patients

Locations

328 S Stillaguamish Ave
Arlington, WA 98223
Phone (360) 435-2133

1728 W Marine View Dr
Ste 110
Everett, WA 98201
Phone (425) 259-4041

1728 W Marine View Dr
Ste 111
Everett, WA 98201

3125 Colby Ave
Ste J
Everett, WA 98201
Phone (425) 303-8806

916 Pacific Ave
Everett, WA 98201
Phone (425) 258-7123

1400 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 428-2586

Interoperability endpoints

  • Direct secure messaging: abrookman63361@skagit.direct-ci.com
  • Direct secure messaging: abrookman749265@direct.multicare.org

Organizations & group practices 7

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 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": "1598400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1871106187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E KINCAID ST",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982744127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 S STILLAGUAMISH AVE",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982231660",
            "telephone_number": "360-435-6097",
            "fax_number": "360-848-4565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKMAN",
        "first_name": "AMY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-26",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "WA",
            "license": "61237369",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "WA",
            "license": "PA61237369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "abrookman63361@skagit.direct-ci.com",
            "affiliation": "N",
            "endpointDescription": "provider direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "328 S Stillaguamish Ave",
            "city": "Arlington",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982231660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Arlington, WA

Sources for this page

Verify at the official NPI Registry.