KATHRYN ELIZABETH BROCKWAY PA-C
NPI 1083249437
Physician Assistant in Charlotte, NC

Q: What is Kathryn Brockway's NPI number?

The NPI number for Kathryn Brockway is 1083249437. It was assigned to this individual provider in the NPPES registry on March 5, 2020.

Q: What is Kathryn Brockway's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kathryn Brockway was last updated on September 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since March 05, 2020PECOS EnrolledAccepts Medicare Assignment

8201 HEALTHCARE LOOP STE 302, CHARLOTTE, NC 28215(704) 316-2319(704) 316-2321 Get Directions Write a Review

NPPES record last updated: September 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 5, 2025, Oct 26, 2020, Apr 7, 2020 and 1 more (4 updates tracked since 2020).

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About Kathryn Elizabeth Brockway Pa-c NPPES

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

KATHRYN ELIZABETH BROCKWAY PA-C (NPI 1083249437) is an individual physician assistant in Charlotte, North Carolina, licensed in North Carolina (0010-09634) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1083249437

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKATHRYN ELIZABETH BROCKWAYCredential: PA-C

Location Address8201 HEALTHCARE LOOP STE 302Charlotte, NC 28215-7072

Mailing AddressPo Box 60447Charlotte, NC 28260-0447

Phone(704) 316-2319

Fax(704) 316-2321

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateMarch 5, 2020

Last NPPES UpdateSeptember 5, 20254 updates tracked since enumeration

NPPES CertifiedSeptember 5, 2025

✔ NPI 1083249437 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 NC · 0010-09634

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.

8201 HEALTHCARE LOOP STE 302, Charlotte, NC 28215

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Secondary Practice Locations 2

Location 14136 Clemmons RdClemmons, NC 27012-7520 · Phone (336) 893-3270 · Fax (336) 893-3279

Location 25325 Vinning St NW Ste 101Concord, NC 28027-2956 · Phone (704) 316-1040 · Fax (704) 316-1041

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kathryn Elizabeth Brockway Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6305276916

PECOS Enrollment IDI20200422003216

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 3

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.

97 services54 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.

20 services20 patients

Assessment of emotional or behavioral problems 96127

Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28215 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

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 6

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

DR. ALEXANDRA GENNA WRIGHT MD

Obstetrics & Gynecology