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BRYNN CUSACK
NPI 1184314916
Physician Assistant in Bellevue, WA

Active since May 15, 2023PECOS EnrolledAccepts Medicare Assignment
11120 NE 33RD PL STE 202, BELLEVUE, WA 98004(888) 637-9669 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 4, 2026, May 15, 2023 (2 updates tracked since 2023).

About Brynn Cusack NPPES

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

BRYNN CUSACK (NPI 1184314916) is an individual physician assistant in Bellevue, Washington and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1184314916
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameBRYNN CUSACK
Location Address11120 NE 33RD PL STE 202Bellevue, WA 98004-1444
Mailing Address11120 Ne 33rd Pl Ste 202Bellevue, WA 98004-1444
Phone(888) 637-9669
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMay 15, 2023
Last NPPES UpdateMarch 4, 20262 updates tracked since enumeration
NPPES CertifiedMarch 4, 2026
✔ NPI 1184314916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
11120 NE 33RD PL STE 202, Bellevue, WA 98004
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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

Brynn Cusack 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 ID3476046376
PECOS Enrollment IDI20251129000632
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 98004 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 20

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

BALRAJ KAUR
Nurse Practitioner (Adult Health)
11120 NE 33RD PL STE 202
BELLEVUE, WA 98004
King County (206) 823-1004
JOSHUA GARRETT JENNINGS APRN-DNP-AG
Nurse Practitioner (Gerontology)
11120 NE 33RD PL STE 202
BELLEVUE, WA 98004
King County (206) 823-1004
BAKARY MARONG DNP ARNP AGACNP-BC
Nurse Practitioner (Acute Care)
11120 NE 33RD PL STE 202
BELLEVUE, WA 98004
King County (206) 823-1004
SARAH K SOJA PA-C
Internal Medicine
11120 NE 33RD PL STE 202
BELLEVUE, WA 98004
King County (206) 823-1004
ABDUL MANSOOR KHOKHAR MD
Internal Medicine
11120 NE 33RD PL STE 202
BELLEVUE, WA 98004
King County (206) 823-1004
NATALIE POLZEN FNP
Nurse Practitioner (Family)
11120 NE 33RD PL STE 202
BELLEVUE, WA 98004
King County (206) 823-1004
THOMAS QUOC BAO NGUYEN PA-C
Family Medicine
11120 NE 33RD PL STE 202
BELLEVUE, WA 98004
King County (888) 674-5871
DR. NEEL RAMESH CHHEDA DO
Internal Medicine
11120 NE 33RD PL STE 202
BELLEVUE, WA 98004
King County (206) 823-1004

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 Brynn Cusack's NPI number?

The NPI number for Brynn Cusack is 1184314916. It was assigned to this individual provider in the NPPES registry on May 15, 2023.

Where is Brynn Cusack located?

Brynn Cusack practices at 11120 NE 33rd Pl Ste 202, Bellevue, WA 98004. The listed phone number is (888) 637-9669.

What is Brynn Cusack's specialty?

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

Is Brynn Cusack enrolled in Medicare?

Yes. Brynn Cusack 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.

When was this NPI record last updated?

The NPPES record for Brynn Cusack was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.