TAMMIE N. BRUECKNER PA-C
NPI 1407212376
Physician Assistant in Lakewood, CO

Active since January 08, 2016PECOS EnrolledAccepts Medicare Assignment
1746 COLE BLVD STE 100, LAKEWOOD, CO 80401(303) 914-8800 Get Directions Write a Review

NPPES record last updated: September 9, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 9, 2025, Feb 13, 2020, Aug 21, 2017 (3 updates tracked since 2017).

About Tammie N. Brueckner Pa-c NPPES

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

TAMMIE N. BRUECKNER PA-C (NPI 1407212376) is an individual physician assistant in Lakewood, Colorado, licensed in Colorado (PA.0009307) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS, is affiliated with Regional West Medical Center, and maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1407212376
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTAMMIE N. BRUECKNERCredential: PA-C
Location Address1746 COLE BLVD STE 100Lakewood, CO 80401-3208
Mailing Address1746 Cole Blvd Ste 100Lakewood, CO 80401-3208
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJanuary 8, 2016
Last NPPES UpdateSeptember 9, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2025
NPI 1407212376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in CO · PA.0009307 Licensed in CA · PA57558
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.

1746 COLE BLVD STE 100, Lakewood, CO 80401

Secondary Practice Location 1

Location 1200 W Arbor Dr Bldg 300San Diego, CA 92103-1911 · Phone (800) 926-8273 · Fax (888) 539-8781

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

Tammie N. Brueckner 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 ID9739483256
PECOS Enrollment IDI20250909004652
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 2

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 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.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Regional West Medical Center

Acute Care Hospitals · Scottsbluff, NE
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280061
Location4021 Ave BScottsbluff, NE 69361 · Scott Bluff County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80401 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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 15

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

Physician Assistant
1746 COLE BLVD STE 100
LAKEWOOD, CO 80401
Radiology (Pediatric Radiology)
1746 COLE BLVD STE 100
LAKEWOOD, CO 80401
Radiology (Diagnostic Radiology)
1746 COLE BLVD STE 100
LAKEWOOD, CO 80401
Radiology (Diagnostic Radiology)
1746 COLE BLVD STE 100
LAKEWOOD, CO 80401
Radiology (Vascular & Interventional Radiology)
1746 COLE BLVD STE 100
LAKEWOOD, CO 80401
Radiology (Diagnostic Radiology)
1746 COLE BLVD STE 100
LAKEWOOD, CO 80401
Radiology (Diagnostic Radiology)
1746 COLE BLVD STE 100
LAKEWOOD, CO 80401
Physician Assistant
1746 COLE BLVD STE 100
LAKEWOOD, CO 80401

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 Tammie Brueckner's NPI number?

The NPI number for Tammie Brueckner is 1407212376. It was assigned to this individual provider in the NPPES registry on January 8, 2016.

Where is Tammie Brueckner located?

Tammie Brueckner practices at 1746 Cole Blvd Ste 100, Lakewood, CO 80401. The listed phone number is (303) 914-8800.

What is Tammie Brueckner's specialty?

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

Is Tammie Brueckner enrolled in Medicare?

Yes. Tammie Brueckner 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.

Is Tammie Brueckner affiliated with any hospitals?

According to CMS data, Tammie Brueckner is affiliated with Regional West Medical Center.

When was this NPI record last updated?

The NPPES record for Tammie Brueckner was last updated on September 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.