HARLIE SUE BOURDO-BROWN PA-C
NPI 1124631643
Physician Assistant in Kirkland, WA

Active since August 25, 2020PECOS EnrolledAccepts Medicare Assignment
12303 NE 130TH LN STE 420, KIRKLAND, WA 98034(425) 899-6400 Get Directions Write a Review

NPPES record last updated: February 15, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 15, 2022, Nov 18, 2021, Aug 25, 2020 (3 updates tracked since 2020).

About Harlie Sue Bourdo-brown Pa-c NPPES

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

HARLIE SUE BOURDO-BROWN PA-C (NPI 1124631643) is an individual physician assistant in Kirkland, Washington, licensed in Washington (PA.61227695) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS, is affiliated with Evergreenhealth Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1124631643
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameHARLIE SUE BOURDO-BROWNCredential: PA-C
Location Address12303 NE 130TH LN STE 420Kirkland, WA 98034-3042
Mailing Address12040 Ne 128th St # Ms -100Kirkland, WA 98034-3013 · (425) 899-1854 · Fax (425) 899-4490
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 25, 2020
Last NPPES UpdateFebruary 15, 20223 updates tracked since enumeration
NPPES CertifiedNovember 18, 2021
NPI 1124631643 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 WA · PA.61227695
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.
12303 NE 130TH LN STE 420, Kirkland, WA 98034

Other Names 1

Former Name (1)Harlie Sue Bourdo

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 and accepts Medicare assignment

Harlie Sue Bourdo-brown 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 ID5395135008
PECOS Enrollment IDI20211210001419
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.

Hospital Affiliations CMS Care Compare

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

Evergreenhealth Medical Center

Acute Care Hospitals · Kirkland, WA
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500124
Location12040 NE 128th StreetKirkland, WA 98034 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98034 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
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 3

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

Obstetrics & Gynecology
12303 NE 130TH LN STE 420
KIRKLAND, WA 98034
Obstetrics & Gynecology
12303 NE 130TH LN STE 420
KIRKLAND, WA 98034
Nurse Practitioner (Women's Health)
12303 NE 130TH LN STE 420
KIRKLAND, WA 98034

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 Harlie Bourdo-brown's NPI number?

The NPI number for Harlie Bourdo-brown is 1124631643. It was assigned to this individual provider in the NPPES registry on August 25, 2020. The provider is also known as Harlie Sue Bourdo.

Where is Harlie Bourdo-brown located?

Harlie Bourdo-brown practices at 12303 NE 130th Ln Ste 420, Kirkland, WA 98034. The listed phone number is (425) 899-6400.

What is Harlie Bourdo-brown's specialty?

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

Is Harlie Bourdo-brown enrolled in Medicare?

Yes. Harlie Bourdo-brown 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 Harlie Bourdo-brown accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Harlie Bourdo-brown 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 Harlie Bourdo-brown affiliated with any hospitals?

According to CMS data, Harlie Bourdo-brown is affiliated with Evergreenhealth Medical Center.

When was this NPI record last updated?

The NPPES record for Harlie Bourdo-brown was last updated on February 15, 2022. 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.