Individual provider Active NPI

Breanna Lynn Emrick, PA-C

  • Surgical Physician Assistant
  • Tacoma, WA
National Provider Identifier
1942725072
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA60796887 Issued in WA
Practice address
1724 W Union Ave
Tacoma, WA 98405-2099
Phone
(253) 830-5200
NPI assigned
Aug 9, 2017
Last updated
Dec 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA60796887 WA Primary

Addresses

Primary practice location

1724 W Union Ave
Tacoma, WA 98405-2099

Mailing address

PO Box 5299
Ms: 820-5-Pco
Tacoma, WA 98415
Phone (253) 459-8231

Other practice location 1

3124 S 19th St Ste C220
Tacoma, WA 98405-2481
Phone (253) 301-5050

Other practice location 2

7308 Bridgeport Way W Ste 201
Lakewood, WA 98499-8000
Phone (253) 582-7257

Other names 1

  • Breanna Lynn Polk Former name

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
I20171027002105 WA Practitioner - Physician Assistant 0941576425 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
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)

1901 S Union Ave
Tacoma, WA 98405-1702

311 S L St
Tacoma, WA 98405-3720

315 Martin Luther King Jr Way
Tacoma, WA 98405-4234
Phone (253) 403-2130

317 Martin Luther King Jr Way
Tacoma, WA 98405-4234

317 MLK Jr Way
Multicare Social Work Serv
Tacoma, WA 98405-4234
Phone (253) 403-1126

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
Proliance Surgeons, Inc., P.S. CurrentSince Oct 23, 2017 Accepting new patients
Multicare Health System CurrentSince Sep 30, 2018 Accepting new patients
Proliance Surgeons Inc P S Surgical CurrentSince Oct 23, 2017 Accepting new patients
Multicare Health System CurrentSince Sep 30, 2018 Accepting new patients
Multicare Health System Past Accepting new patients

Locations

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

7308 Bridgeport Way W
Ste 201
Lakewood, WA 98499
Phone (253) 582-7257

1401 S Laventure Rd
Mount Vernon, WA 98274
Phone (360) 424-2400

805 Madison St
Ste 901
Seattle, WA 98104
Phone (206) 264-8100

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

3124 S 19th St
Ste C220
Tacoma, WA 98405
Phone (253) 301-5050

315 S K St
Tacoma, WA 98405
Phone (253) 403-1291

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 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": "1502236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1942725072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5299",
            "address_2": "MS: 820-5-PCO",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98415",
            "telephone_number": "253-459-8231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1724 W UNION AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052099",
            "telephone_number": "253-830-5200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3124 S 19th St Ste C220",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984052481",
            "country_code": "US",
            "telephone_number": "253-301-5050",
            "fax_number": "253-301-5070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7308 Bridgeport Way W Ste 201",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "WA",
            "postal_code": "984998000",
            "country_code": "US",
            "telephone_number": "253-582-7257",
            "fax_number": "253-582-1617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EMRICK",
        "first_name": "BREANNA",
        "middle_name": "LYNN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-09",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "WA",
            "license": "PA60796887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BREANNA",
            "last_name": "POLK",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.