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HOLLY BROCK PA
NPI 1023249810
Physician Assistant in Vancouver, WA

Active since July 28, 2009PECOS Enrolled
1400 NE 136TH AVE STE 201, VANCOUVER, WA 98684(360) 258-1787 Get Directions Write a Review

NPPES record last updated: April 3, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Holly Brock Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOLLY BROCK PA (NPI 1023249810) is an individual physician assistant in Vancouver, Washington, licensed in Washington (61433590) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1023249810
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameHOLLY BROCKCredential: PA
Location Address1400 NE 136TH AVE STE 201Vancouver, WA 98684-0993
Mailing AddressPo Box 87044Vancouver, WA 98687-7044 · (360) 258-1787
Phone(360) 258-1787
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateJuly 28, 2009
Last NPPES UpdateApril 3, 2025
NPPES CertifiedApril 3, 2025
✔ NPI 1023249810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in WA · 61433590
Definition
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.
1400 NE 136TH AVE STE 201, Vancouver, WA 98684
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Other Names 1

Former Name (1)Holly Walkington-brock

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Holly Brock Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID941606487
PECOS Enrollment IDI20251201003308
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98684 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PEARL FAMILY MEDICINE
Family Medicine
1400 NE 136TH AVE STE 201
VANCOUVER, WA 98684
Clark County (360) 299-5529

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Holly Brock's NPI number?

The NPI number for Holly Brock is 1023249810. It was assigned to this individual provider in the NPPES registry on July 28, 2009. The provider is also known as Holly Walkington-Brock.

Where is Holly Brock located?

Holly Brock practices at 1400 NE 136th Ave Ste 201, Vancouver, WA 98684. The listed phone number is (360) 258-1787.

What is Holly Brock's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Holly Brock enrolled in Medicare?

Yes. Holly Brock is registered in the Medicare PECOS enrollment system.

What insurance does Holly Brock accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Holly Brock as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Holly Brock was last updated on April 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.