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BRANDON LANE WHITLOCK AG-ACNP
NPI 1124353719
Nurse Practitioner - Family in Clarkston, WA

Active since October 15, 2009PECOS EnrolledAccepts Medicare Assignment
1119 HIGHLAND AVE STE 7, CLARKSTON, WA 99403(509) 758-1119 Get Directions Write a Review

NPPES record last updated: May 29, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 29, 2025, Jun 27, 2024, Jun 24, 2020 (3 updates tracked since 2020).

About Brandon Lane Whitlock Ag-acnp NPPES

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

BRANDON LANE WHITLOCK AG-ACNP (NPI 1124353719) is an individual family provider in Clarkston, Washington, licensed in Washington (AP61081911) and active in the NPI registry since October 2009. He is enrolled in Medicare PECOS, is affiliated with St Joseph Regional Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1124353719
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameBRANDON LANE WHITLOCKCredential: AG-ACNP
Location Address1119 HIGHLAND AVE STE 7Clarkston, WA 99403-2836
Mailing AddressPo Box 189Clarkston, WA 99403-0189 · (509) 758-1119 · Fax (509) 758-1140
Phone(509) 758-1119
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 15, 2009
Last NPPES UpdateMay 29, 20253 updates tracked since enumeration
NPPES CertifiedMay 29, 2025
✔ NPI 1124353719 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
Licenses✔ Licensed in WA · AP61081911✔ Licensed in ID · 65287
1119 HIGHLAND AVE STE 7, Clarkston, WA 99403
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska 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 and accepts Medicare assignment

Brandon Lane Whitlock Ag-acnp 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 ID9436572740
PECOS Enrollment IDI20201124003092, I20211214002643
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 12

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
509 services113 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
221 services62 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
111 services43 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
71 services41 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
55 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.
52 services52 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Joseph Regional Medical Center

Acute Care Hospitals · Lewiston, ID
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130003
Location415 Sixth StreetLewiston, ID 83501 · Nez Perce County
Emergency services Birthing friendly

Tri-State Memorial Hospital

Critical Access Hospitals · Clarkston, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number501332
Location1221 Highland AvenueClarkston, WA 99403 · Asotin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99403 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
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers18 claims18 services$17.72 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers43 claims43 services$94.85 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers14 claims14 services$36.53 avg. paid by Medicare
General use wheelchair seat cushion, width less than 22 inches, any depth E2601
DME-Wheelchairs · category DD021N
1 supplier11 claims11 services$36.71 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier128 claims128 services$21.26 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 3

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

DR. CORY ALLEN BROWN D.P.M.
Podiatrist (Foot & Ankle Surgery)
1119 HIGHLAND AVE STE 7
CLARKSTON, WA 99403
Asotin County (509) 758-1119
CAROL CHANDLER NP
Nurse Practitioner
1119 HIGHLAND AVE STE 7
CLARKSTON, WA 99403
Asotin County (509) 758-1119
KARL D JOHNSON DPM
Podiatrist (Foot & Ankle Surgery)
1119 HIGHLAND AVE STE 7
CLARKSTON, WA 99403
Asotin County (509) 758-1119

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 Brandon Whitlock's NPI number?

The NPI number for Brandon Whitlock is 1124353719. It was assigned to this individual provider in the NPPES registry on October 15, 2009.

Where is Brandon Whitlock located?

Brandon Whitlock practices at 1119 Highland Ave Ste 7, Clarkston, WA 99403. The listed phone number is (509) 758-1119.

What is Brandon Whitlock's specialty?

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

Is Brandon Whitlock enrolled in Medicare?

Yes. Brandon Whitlock is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Brandon Whitlock accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Brandon Whitlock 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.

Is Brandon Whitlock affiliated with any hospitals?

According to CMS data, Brandon Whitlock is affiliated with St Joseph Regional Medical Center and Tri-State Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Brandon Whitlock was last updated on May 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.