Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

TARA NICOLE BRZEZINSKI
NPI 1124732623
Physician Assistant in Flagstaff, AZ

Active since January 09, 2023PECOS Enrolled
1100 N SAN FRANCISCO ST STE B, FLAGSTAFF, AZ 86001(928) 779-7851(928) 213-9990 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 14, 2026, Jan 6, 2025, Mar 23, 2023 and 2 more (5 updates tracked since 2023).

About Tara Nicole Brzezinski NPPES

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

TARA NICOLE BRZEZINSKI (NPI 1124732623) is an individual physician assistant in Flagstaff, Arizona, licensed in Arizona (10615) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1124732623
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTARA NICOLE BRZEZINSKI
Location Address1100 N SAN FRANCISCO ST STE BFlagstaff, AZ 86001-3260
Mailing AddressPo Box 81064Cleveland, OH 44181-0064 · (520) 795-8080 · Fax (520) 323-6237
Fax(928) 213-9990
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJanuary 9, 2023
Last NPPES UpdateJuly 14, 20265 updates tracked since enumeration
NPPES CertifiedJuly 14, 2026
NPI 1124732623 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 AZ · 10615
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.

1100 N SAN FRANCISCO ST STE B, Flagstaff, AZ 86001

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

Tara Nicole Brzezinski 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 ID6709365612
PECOS Enrollment IDI20260211000710
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86001 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

Obstetrics & Gynecology
1100 N SAN FRANCISCO ST STE B
FLAGSTAFF, AZ 86001
Obstetrics & Gynecology
1100 N SAN FRANCISCO ST STE B
FLAGSTAFF, AZ 86001
Obstetrics & Gynecology
1100 N SAN FRANCISCO ST STE B
FLAGSTAFF, AZ 86001
Nurse Practitioner (Women's Health)
1100 N SAN FRANCISCO ST STE B
FLAGSTAFF, AZ 86001
Obstetrics & Gynecology
1100 N SAN FRANCISCO ST STE B
FLAGSTAFF, AZ 86001
Obstetrics & Gynecology
1100 N SAN FRANCISCO ST STE B
FLAGSTAFF, AZ 86001

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 Tara Brzezinski's NPI number?

The NPI number for Tara Brzezinski is 1124732623. It was assigned to this individual provider in the NPPES registry on January 9, 2023.

Where is Tara Brzezinski located?

Tara Brzezinski practices at 1100 N San Francisco St Ste B, Flagstaff, AZ 86001. The listed phone number is (928) 779-7851.

What is Tara Brzezinski's specialty?

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

Is Tara Brzezinski enrolled in Medicare?

Yes. Tara Brzezinski 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 Tara Brzezinski accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. list Tara Brzezinski 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 Tara Brzezinski was last updated on July 14, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.