BROOKE MYRBERG PA-C
NPI 1295206381
Physician Assistant - Medical in San Diego, CA

Q: What is Brooke Myrberg's NPI number?

The NPI number for Brooke Myrberg is 1295206381. It was assigned to this individual provider in the NPPES registry on December 16, 2018.

Q: What is Brooke Myrberg's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Brooke Myrberg was last updated on May 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.

Active since December 16, 2018PECOS EnrolledAccepts Medicare Assignment

3900 5TH AVE STE 110, SAN DIEGO, CA 92103(858) 554-1212(858) 554-1222 Get Directions Write a Review

NPPES record last updated: May 21, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 21, 2019, Dec 16, 2018 (2 updates tracked since 2018).

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About Brooke Myrberg Pa-c NPPES

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

BROOKE MYRBERG PA-C (NPI 1295206381) is an individual medical provider in San Diego, California, licensed in California (PA56234) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Diego, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1295206381

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameBROOKE MYRBERGCredential: PA-C

Location Address3900 5TH AVE STE 110San Diego, CA 92103-3122

Mailing Address9850 Genesee Ave Ste 320La Jolla, CA 92037-1208 · (858) 554-1212 · Fax (858) 554-1222

Phone(858) 554-1212

Fax(858) 554-1222

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateDecember 16, 2018

Last NPPES UpdateMay 21, 20192 updates tracked since enumeration

✔ NPI 1295206381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in CA · PA56234

3900 5TH AVE STE 110, San Diego, CA 92103

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Secondary Practice Location 1

Location 14142 Adams Ave Ste 102San Diego, CA 92116-2593 · Phone (858) 617-0717

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

Brooke Myrberg 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 ID8325381130

PECOS Enrollment IDI20221229002874

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 4

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

31 services31 patients

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.

17 services17 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

14 services14 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.

13 services13 patients

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.

JORDAN LOUIE AHN

Physician Assistant