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ANDREA BESSEY BRUBAKER
NPI 1104342070
Nurse Practitioner - Family in Boone, NC

Active since August 22, 2017PECOS Enrolled
141 HEALTH CENTER DR STE B, BOONE, NC 28607(828) 265-8591 Get Directions Write a Review

NPPES record last updated: September 22, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Andrea Bessey Brubaker NPPES

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

ANDREA BESSEY BRUBAKER (NPI 1104342070) is an individual family provider in Boone, North Carolina, licensed in North Carolina (5016213) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104342070
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANDREA BESSEY BRUBAKER
Location Address141 HEALTH CENTER DR STE BBoone, NC 28607-6997
Mailing Address141 Health Center Dr Ste BBoone, NC 28607-6997 · (828) 265-8591
Phone(828) 265-8591
Sole ProprietorNo
Enumeration DateAugust 22, 2017
Last NPPES UpdateSeptember 22, 2023
NPPES CertifiedSeptember 22, 2023
✔ NPI 1104342070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NC · 5016213
141 HEALTH CENTER DR STE B, Boone, NC 28607
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrea Bessey Brubaker 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.

Medicare Billing Reassignment

Medicare enrollment records show Andrea Brubaker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Open Door Community Health Centers
2,275 mi
Federally Qualified Health Center (FQHC)
38883 HIGHWAY 299
Willow Creek, CA 95573
  • Reassigned Medicare billing, California enrollment
  • 175 clinicians in this Medicare group
NPI 1730330739 (530) 629-3111

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28607 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
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
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.

CCCLINIC INC
Clinic/Center (Primary Care)
141 HEALTH CENTER DR STE B
BOONE, NC 28607
Watauga County (828) 265-8591

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 Andrea Brubaker's NPI number?

The NPI number for Andrea Brubaker is 1104342070. It was assigned to this individual provider in the NPPES registry on August 22, 2017.

Where is Andrea Brubaker located?

Andrea Brubaker practices at 141 Health Center Dr Ste B, Boone, NC 28607. The listed phone number is (828) 265-8591.

What is Andrea Brubaker's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Andrea Brubaker enrolled in Medicare?

Yes. Andrea Brubaker is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Andrea Brubaker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Brubaker reassigns Medicare benefits to Open Door Community Health Centers (Willow Creek, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrea Brubaker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Andrea Brubaker was last updated on September 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.