MRS. ANDREA RAE BROCKMAN MMS, PA-C
NPI 1043519929
Physician Assistant - Medical in Wellington, FL

Active since March 18, 2011PECOS Enrolled
1397 MEDICAL PARK BLVD STE 220, WELLINGTON, FL 33414(561) 784-0202 Get Directions Write a Review

NPPES record last updated: December 15, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Andrea Rae Brockman Mms, Pa-c NPPES

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

MRS. ANDREA RAE BROCKMAN MMS, PA-C (NPI 1043519929) is an individual medical provider in Wellington, Florida, licensed in Florida (PA9105703) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043519929
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. ANDREA RAE BROCKMANCredential: MMS, PA-C
Location Address1397 MEDICAL PARK BLVD STE 220Wellington, FL 33414-3187
Mailing Address1397 Medical Park Blvd Ste 220Wellington, FL 33414-3187
Sole ProprietorNo
Enumeration DateMarch 18, 2011
Last NPPES UpdateDecember 15, 2021
NPPES CertifiedDecember 15, 2021
NPI 1043519929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in FL · PA9105703
1397 MEDICAL PARK BLVD STE 220, Wellington, FL 33414

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Andrea Rae Brockman Mms, Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit, 30-39 minutes 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
74 services53 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
68 services46 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
26 services26 patients
Annual alcohol misuse screening, 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
15 services15 patients
Annual depression screening, 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
12 services12 patients

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$185.12 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

Physician Assistant
1397 MEDICAL PARK BLVD STE 220
WELLINGTON, FL 33414
Physician Assistant
1397 MEDICAL PARK BLVD STE 220
WELLINGTON, FL 33414
Family Medicine
1397 MEDICAL PARK BLVD STE 220
WELLINGTON, FL 33414
Internal Medicine
1397 MEDICAL PARK BLVD STE 220
WELLINGTON, FL 33414
Family Medicine
1397 MEDICAL PARK BLVD STE 220
WELLINGTON, FL 33414
Student in an Organized Health Care Education/Training Program
1397 MEDICAL PARK BLVD STE 220
WELLINGTON, FL 33414

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043519929, enumerated as an "individual" on March 18, 2011.

The provider is located at 1397 MEDICAL PARK BLVD STE 220 WELLINGTON, FL 33414 and the phone number is (561) 784-0202.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.