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BRIANNE DARE HETTEMA PA-C
NPI 1255000915
Physician Assistant in Joint Base Lewis Mcchord, WA

Active since September 07, 2021PECOS Enrolled
9040A JACKSON AVE, JOINT BASE LEWIS MCCHORD, WA 98431(253) 968-1110 Get Directions Write a Review

NPPES record last updated: February 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brianne Dare Hettema Pa-c NPPES

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

BRIANNE DARE HETTEMA PA-C (NPI 1255000915) is an individual physician assistant in Joint Base Lewis Mcchord, Washington, licensed in Washington (61125934) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, is affiliated with Legacy Mount Hood Medical Center, and maintains a secondary practice location in Camas.

NPPES Registry Identity

NPI1255000915
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameBRIANNE DARE HETTEMACredential: PA-C
Location Address9040A JACKSON AVEJoint Base Lewis Mcchord, WA 98431-0001
Mailing Address1662 S 55th StTacoma, WA 98408-1425 · (360) 981-6047
Phone(253) 968-1110
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 7, 2021
Last NPPES UpdateFebruary 26, 2026
NPPES CertifiedFebruary 26, 2026
✔ NPI 1255000915 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 · 61125934
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.
9040A JACKSON AVE, Joint Base Lewis Mcchord, WA 98431
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Other Names 1

Former Name (1)Brianne Dare Kerin

Secondary Practice Location 1

Location 11625 SE 192nd Ave Ste 100Camas, WA 98607-6505 · Phone (360) 566-4840

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brianne Dare Hettema Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7517351737
PECOS Enrollment IDI20220303000760, I20240912003192, I20251226002245
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
78 services74 patients
Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus 87637
This test identifies if you have COVID-19, influenza A or B, or respiratory syncytial virus. It uses a multiplex amplified probe technique, which amplifies and detects specific genetic material of the viruses, helping in accurate diagnosis.
13 services13 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
12 services11 patients

Hospital Affiliations CMS Care Compare

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

Legacy Mount Hood Medical Center

Acute Care Hospitals · Gresham, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380025
Location24800 SE Stark StreetGresham, OR 97030 · Multnomah County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98431 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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.

TIMOTHY THOMAS CAVANAGH JR. PHARMD
Pharmacist
9040A JACKSON AVE
JOINT BASE LEWIS MCCHORD, WA 98431
Pierce County (253) 968-2999
MADIGAN ARMY MEDICAL CENTER
Military Hospital (Military General Acute Care Hospital. Operational (Transportable))
9040A JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-1684
ELIDETH O'DELL
Social Worker (Clinical)
9040A JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-1110
TRAVON JOHNSON PSY.D.
Psychologist (Clinical)
9040A JACKSON AVE
JOINT BASE LEWIS MCCHORD, WA 98431
Pierce County (253) 968-1110
DR. RICHARD LYLE URBON JR. M.D.
Internal Medicine
9040A JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-0166
PATRICK ANTHONY HOGG COTA
Occupational Therapy Assistant
9040A JACKSON AVE
JOINT BASE LEWIS MCCHORD, WA 98431
Pierce County (206) 795-3389
RYAN MICHAEL BROCK PHARM.D
Pharmacist
9040A JACKSON AVE
JOINT BASE LEWIS MCCHORD, WA 98431
Pierce County (210) 625-2268
SURYA SINGH DO
Internal Medicine (Rheumatology)
9040A JACKSON AVE
JOINT BASE LEWIS MCCHORD, WA 98431
Pierce County (253) 968-2287

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 Brianne Hettema's NPI number?

The NPI number for Brianne Hettema is 1255000915. It was assigned to this individual provider in the NPPES registry on September 7, 2021. The provider is also known as Brianne Dare Kerin.

Where is Brianne Hettema located?

Brianne Hettema practices at 9040A Jackson Ave, Joint Base Lewis Mcchord, WA 98431. The listed phone number is (253) 968-1110.

What is Brianne Hettema's specialty?

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

Is Brianne Hettema enrolled in Medicare?

Yes. Brianne Hettema is registered in the Medicare PECOS enrollment system.

What insurance does Brianne Hettema accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Brianne Hettema 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 Brianne Hettema affiliated with any hospitals?

According to CMS data, Brianne Hettema is affiliated with Legacy Mount Hood Medical Center.

When was this NPI record last updated?

The NPPES record for Brianne Hettema was last updated on February 26, 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.