Individual provider Active NPI

Brian James Rouse, PA-C

  • Physician Assistant
  • Spokane, WA
National Provider Identifier
1932570801
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
61098 Issued in CA
Practice address
10258 W Sunset Hwy Ste 6
Spokane, WA 99224-5459
Phone
(888) 227-3312
Fax
(509) 227-7070
NPI assigned
Oct 16, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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 61098 CA Primary

Addresses

Primary practice location

10258 W Sunset Hwy Ste 6
Spokane, WA 99224-5459

Mailing address

3400 Data Dr
Rancho Cordova, CA 95670-7956

Other practice location 1

2780 Eureka Way
Redding, CA 96001-0223
Phone (530) 229-0360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, TX, CA3 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
I20191122001642 WA Practitioner - Physician Assistant 2163717976 Reassigns benefits to 2 organizations
I20210908001701 TX Practitioner - Physician Assistant 2163717976
I20220705002725 CA Practitioner - Physician Assistant 2163717976

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
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)

105 E Mission Ave
Suite D
Spokane, WA 99202-6002
Phone (888) 227-3312

1350 Marvin Rd NE
Suite D
Lacey, WA 98516-3877
Phone (888) 227-3312

1601 George Washington Way
Richland, WA 99354-2626
Phone (888) 227-3312

5506 Rd
Suite 68
Pasco, WA 99301-9627
Phone (888) 227-3312

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.49 of 100Reported as group
Quality
86.28
Promoting interoperability
100
Improvement activities
40
Cost
78.7

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sonora Community Hospital CurrentSince May 25, 2022 Accepting new patients
Providence Health & Services - Washington Past Accepting new patients

Locations

14540 State Highway 108
Sonora, CA 95370
Phone (209) 532-3167

680 Guzzi Ln
Ste 201
Sonora, CA 95370
Phone (209) 536-1785

Interoperability endpoints

  • Direct secure messaging: brouse1156859@wm.providencedirect.org

Organizations & group practices 4

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 1

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": "1444953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1932570801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 DATA DR",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956707956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10258 W SUNSET HWY STE 6",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992245459",
            "telephone_number": "888-227-3312",
            "fax_number": "509-227-7070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2780 Eureka Way",
            "address_purpose": "LOCATION",
            "city": "Redding",
            "state": "CA",
            "postal_code": "960010223",
            "country_code": "US",
            "telephone_number": "530-229-0360",
            "fax_number": "530-229-0856",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROUSE",
        "first_name": "BRIAN",
        "middle_name": "JAMES",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-16",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "61098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.