NPIMap

Individual provider Active NPI

Patrick Lyndon Brauer, PA-C

  • Physician Assistant
  • Altoona, WI
National Provider Identifier
1932535903
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
8041-23 Issued in WI
Practice address
1490 Rivers Edge TRL
Altoona, WI 54720-2755
Phone
(715) 828-2368
NPI assigned
Sep 22, 2013
Last updated
Oct 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.0005856 CO
Physician Assistant 363A00000X 8041-23 WI Primary
Medical Physician Assistant 363AM0700X PA60400481 WA

Addresses

Primary practice location

1490 Rivers Edge TRL
Altoona, WI 54720-2755

Mailing address

1490 Rivers Edge TRL
Altoona, WI 54720-2755
Phone (715) 828-2368

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, CO, WI, IA, MN5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20171107000535 WA Practitioner - Physician Assistant 5597994814 Reassigns benefits to 2 organizations
I20190814000461 CO Practitioner - Physician Assistant 5597994814 Reassigns benefits to 1 organization
I20240807003343 WI Practitioner - Physician Assistant 5597994814 Reassigns benefits to 2 organizations
I20250902001783 IA Practitioner - Physician Assistant 5597994814 Reassigns benefits to 1 organization
I20250905003461 MN Practitioner - Physician Assistant 5597994814 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians

Practice addresses (Care Compare)

311 S L St
Tacoma, WA 98405-3720

4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Poudre Valley Medical Group, LLC CurrentSince Jul 23, 2019 Accepting new patients
Multicare Health System CurrentSince Sep 26, 2025 Accepting new patients
Multicare Health System Current Accepting new patients
Multicare Health System CurrentSince Sep 26, 2025 Accepting new patients
Multicare Health System Physician Assistant Past Accepting new patients
Lourdes Hospital LLC Past Accepting new patients

Locations

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

595 Chapel Hills Dr
Ste 240
Colorado Springs, CO 80920
Phone (719) 364-4120

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2403

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

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

Organizations & group practices 8

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 3

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": "1379808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1932535903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1490 RIVERS EDGE TRL",
            "city": "ALTOONA",
            "state": "WI",
            "postal_code": "547202755",
            "telephone_number": "715-828-2368",
            "fax_number": "509-545-4861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 RIVERS EDGE TRL",
            "city": "ALTOONA",
            "state": "WI",
            "postal_code": "547202755",
            "telephone_number": "715-828-2368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAUER",
        "first_name": "PATRICK",
        "middle_name": "LYNDON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-22",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0005856",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "8041-23",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA60400481",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, WI

Sources for this page

Verify at the official NPI Registry.