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Active NPI 1639651474 Individual Practitioner Female Practitioner

Brooke Granstrom

Physician Assistant • Spokane, WA

Professional Overview & Biography Verified Profile Summary

Brooke Granstrom is a registered healthcare professional specializing in Physician Assistant in Spokane, WA. Practice services are available at 105 W 8TH AVE STE 150E under active NPI credentials.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, established patient outpatient office visit, telephone medical discussion with physician. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

105 W 8th Ave Ste 150e

Spokane, WA 99204

Telephone 5094653919
Fax 5092777070
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Spokane, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.2 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
320 Specialists

Practicing in Spokane, WA (3774 Statewide)

Telehealth Adoption Rate
14.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
65.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
109 53 $256.00 $89.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
67 63 $266.00 $93.28
99443 Telephone medical discussion with physician, 21-30 minutes
14 14 $266.00 $92.85

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WA PA60997905

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

4311 11th Ave Ne Ste 200

Seattle, WA 981056367

Phone: 2066164001

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

21 Associated Practitioners
Dr. Hyung Park , MD

Psychiatry & Neurology - Sleep Medicine

NPI 1023044187

Doctor of Medicine (M.D.)

Dr. Thomas Decato , MD

Internal Medicine - Pulmonary Disease

NPI 1043535370

Doctor of Medicine (M.D.)

Michael Mandziara , PA

Physician Assistant

NPI 1245632165

Physician Assistant

Dr. Azmina Zieman , MD

Internal Medicine

NPI 1265895023

Doctor of Medicine (M.D.)

NPI 1295063683

NURSEPRACTITIONER

Lyda Nicodemus , ARNP

Nurse Practitioner

NPI 1376168336

Advanced Registered Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location October 09, 2019

Registered at 105 W 8TH AVE STE 150E, SPOKANE, WA 99204 (Tel: 5094653919)

📍
Updated Business Mailing Address October 09, 2019

Registered at 105 E 8TH AVE, SUITE 150E, SPOKANE, WA 992042318 (Tel: 5094653919)

NPI Profile Active August 29, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location August 29, 2018

Registered at 4311 11TH AVE NE STE 200, SEATTLE, WA 981056367 (Tel: 2066164001)

📍
Updated Business Mailing Address August 29, 2018

Registered at 4311 11TH AVE NE STE 200, SEATTLE, WA 981056367

👤
Provider Name / Credentials Updated August 29, 2018

Recorded as BROOKE GRANSTROM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 29, 2018

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration August 29, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1639651474
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 29, 2018
Last Update: October 09, 2019
Sole Proprietor: No

Mailing Address

105 E 8th Ave, Suite 150e

Spokane, WA 992042318

Phone: 5094653919

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.