JAMIE BROCKMAN PAC
NPI 1053075820
Physician Assistant - Medical in Surprise, AZ

Active since October 27, 2021PECOS Enrolled
14674 W MOUNTAIN VIEW BLVD STE 200, SURPRISE, AZ 85374(623) 544-6860(623) 544-6861 Get Directions Write a Review

NPPES record last updated: October 27, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jamie Brockman Pac NPPES

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

JAMIE BROCKMAN PAC (NPI 1053075820) is an individual medical provider in Surprise, Arizona and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1053075820
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameJAMIE BROCKMANCredential: PAC
Location Address14674 W MOUNTAIN VIEW BLVD STE 200Surprise, AZ 85374-2708
Mailing Address14674 W Mountain View Blvd Ste 200Surprise, AZ 85374-2708 · (623) 544-6860 · Fax (623) 544-6861
Fax(623) 544-6861
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 27, 2021
NPPES CertifiedOctober 26, 2021
NPI 1053075820 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
14674 W MOUNTAIN VIEW BLVD STE 200, Surprise, AZ 85374

Accepted 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)

Jamie Brockman Pac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9830588821
PECOS Enrollment IDI20211112001009
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 6

Services this provider delivered to Medicare fee-for-service patients, from the 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 with moderate level of decision making, if using time, 30 minutes or more 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.
567 services373 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.
133 services133 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
105 services93 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
54 services45 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
18 services18 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
17 services17 patients

Other Providers at the Same Location NPPES 4

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

Physician Assistant
14674 W MOUNTAIN VIEW BLVD STE 200
SURPRISE, AZ 85374
Physician Assistant
14674 W MOUNTAIN VIEW BLVD STE 200
SURPRISE, AZ 85374
Family Medicine
14674 W MOUNTAIN VIEW BLVD STE 200
SURPRISE, AZ 85374
Family Medicine
14674 W MOUNTAIN VIEW BLVD STE 200
SURPRISE, AZ 85374

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 Jamie Brockman's NPI number?

The NPI number for Jamie Brockman is 1053075820. It was assigned to this individual provider in the NPPES registry on October 27, 2021.

Where is Jamie Brockman located?

Jamie Brockman practices at 14674 W Mountain View Blvd Ste 200, Surprise, AZ 85374. The listed phone number is (623) 544-6860.

What is Jamie Brockman's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jamie Brockman enrolled in Medicare?

Yes. Jamie Brockman is registered in the Medicare PECOS enrollment system.

What insurance does Jamie Brockman accept?

Health plans from Imperial Insurance Companies, Inc. list Jamie Brockman 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 Jamie Brockman was last updated on October 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.