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TATUM PATRICE BRIMLEY PA-C
NPI 1215778063
Physician Assistant in Laveen, AZ

Active since June 05, 2024PECOS EnrolledAccepts Medicare Assignment
7650 S 59TH AVE STE A105, LAVEEN, AZ 85339(602) 476-8888 Get Directions Write a Review

NPPES record last updated: November 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 12, 2025, Jun 5, 2024 (2 updates tracked since 2024).

About Tatum Patrice Brimley Pa-c NPPES

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

TATUM PATRICE BRIMLEY PA-C (NPI 1215778063) is an individual physician assistant in Laveen, Arizona, licensed in Arizona (11410) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1215778063
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTATUM PATRICE BRIMLEYCredential: PA-C
Location Address7650 S 59TH AVE STE A105Laveen, AZ 85339-3071
Mailing Address7650 S 59th Ave Ste A105Laveen, AZ 85339-3071
Phone(602) 476-8888
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateJune 5, 2024
Last NPPES UpdateNovember 12, 20252 updates tracked since enumeration
NPPES CertifiedNovember 12, 2025
✔ NPI 1215778063 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 · 11410
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.
7650 S 59TH AVE STE A105, Laveen, AZ 85339
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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

Tatum Patrice Brimley 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 ID3173009214
PECOS Enrollment IDI20260108002850
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 85339 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

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

JENNA FERRIS
Physician Assistant (Medical)
7650 S 59TH AVE STE A105
LAVEEN, AZ 85339
Maricopa County (602) 476-8888

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 Tatum Brimley's NPI number?

The NPI number for Tatum Brimley is 1215778063. It was assigned to this individual provider in the NPPES registry on June 5, 2024.

Where is Tatum Brimley located?

Tatum Brimley practices at 7650 S 59th Ave Ste A105, Laveen, AZ 85339. The listed phone number is (602) 476-8888.

What is Tatum Brimley's specialty?

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

Is Tatum Brimley enrolled in Medicare?

Yes. Tatum Brimley 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 Tatum Brimley was last updated on November 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.