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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

EDEE BROCKLESBY DPM
NPI 1215590997
Podiatrist - Foot & Ankle Surgery in Port Townsend, WA

Active since April 17, 2019PECOS Enrolled
834 SHERIDAN ST, PORT TOWNSEND, WA 98368(360) 344-3098(360) 379-2242 Get Directions Write a Review

NPPES record last updated: October 20, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 1, 2026, Sep 8, 2023, Mar 30, 2023 and 2 more (5 updates tracked since 2019).

About Edee Brocklesby Dpm NPPES

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

EDEE BROCKLESBY DPM (NPI 1215590997) is an individual foot & ankle surgery provider in Port Townsend, Washington, licensed in Washington (PL61082175) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Jefferson Healthcare, and is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (2020).

NPPES Registry Identity

NPI1215590997
Entity TypeIndividualFemale
Primary Taxonomy213ES0103X
Provider Legal NameEDEE BROCKLESBYCredential: DPM
Location Address834 SHERIDAN STPort Townsend, WA 98368-2443
Mailing Address834 Sheridan StPort Townsend, WA 98368-2443 · (360) 344-0400
Phone(360) 344-3098
Fax(360) 379-2242
Sole ProprietorNo
Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 2020
Enumeration DateApril 17, 2019
Last NPPES UpdateOctober 20, 20265 updates tracked since enumeration
NPPES CertifiedOctober 20, 2026
✔ NPI 1215590997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
Licenses✔ Licensed in WA · PL61082175✔ Licensed in WA · PO61449695
834 SHERIDAN ST, Port Townsend, WA 98368
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edee Brocklesby Dpm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1052710522
PECOS Enrollment IDI20260617002040
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 Edee Brocklesby reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Jefferson County Public Hospital District No 2
Same address
Critical Access
834 SHERIDAN ST
Port Townsend, WA 98368
  • Reassigned Medicare billing, Washington enrollment
  • 164 clinicians in this Medicare group
NPI 1356492953 (360) 385-2200

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

Hospital Affiliations CMS Care Compare

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

Jefferson Healthcare

Critical Access Hospitals · Port Townsend, WA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501323
Location834 Sheridan StreetPort Townsend, WA 98368 · Jefferson County
Emergency services Birthing friendly

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.

DANIEL W WALKOWSKI PA-C
Physician Assistant (Medical)
834 SHERIDAN ST
PORT TOWNSEND, WA 98368
Jefferson County (360) 385-2200
KELSIE FITZPATRICK
Registered Nurse
834 SHERIDAN ST
PORT TOWNSEND, WA 98368
Jefferson County (360) 385-2200
NATALIE SUSAN IRWIN MPT
Physical Therapist
834 SHERIDAN ST
PORT TOWNSEND, WA 98368
Jefferson County (360) 385-2200
MATTHEW FITZPATRICK MD, MPH
Hospitalist
834 SHERIDAN ST
PORT TOWNSEND, WA 98368
Jefferson County (360) 385-2200
JACOB KJELLAND MD
Internal Medicine (Hematology & Oncology)
834 SHERIDAN ST
PORT TOWNSEND, WA 98368
Jefferson County (360) 344-3091
STELLA ARAGON POE RDH
Dental Hygienist
834 SHERIDAN ST
PORT TOWNSEND, WA 98368
Jefferson County (360) 344-1005
CHRISTINE FAE SKORBERG MD
Obstetrics & Gynecology
834 SHERIDAN ST
PORT TOWNSEND, WA 98368
Jefferson County (360) 385-2200
MRS. DENISE ANNE SAMPLE NP-C
Nurse Practitioner (Family)
834 SHERIDAN ST
PORT TOWNSEND, WA 98368
Jefferson County (360) 385-2200

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 Edee Brocklesby's NPI number?

The NPI number for Edee Brocklesby is 1215590997. It was assigned to this individual provider in the NPPES registry on April 17, 2019.

Where is Edee Brocklesby located?

Edee Brocklesby practices at 834 Sheridan St, Port Townsend, WA 98368. The listed phone number is (360) 344-3098.

What is Edee Brocklesby's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Edee Brocklesby enrolled in Medicare?

Yes. Edee Brocklesby is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Edee Brocklesby's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edee Brocklesby reassigns Medicare benefits to Jefferson County Public Hospital District No 2 (Port Townsend, WA). 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 Edee Brocklesby's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Edee Brocklesby accept?

Health plans from Ambetter Health and Premera Blue Cross Blue Shield of Alaska list Edee Brocklesby 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 Edee Brocklesby affiliated with any hospitals?

According to CMS data, Edee Brocklesby is affiliated with Jefferson Healthcare.

When was this NPI record last updated?

The NPPES record for Edee Brocklesby was last updated on October 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.