MS. BRAELEN DAWN IVICEVICH PA-C
NPI 1568834893
Physician Assistant - Surgical in Houston, TX

Active since October 26, 2015PECOS EnrolledAccepts Medicare Assignment
98.85/100
CMS Quality Rating
6560 FANNIN, SCURLOCK TOWER, SUITE 2200, HOUSTON, TX 77030(281) 737-4560(281) 737-4561 Get Directions Write a Review

NPPES record last updated: October 7, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 7, 2021, Jan 11, 2016 (2 updates tracked since 2016).

About Ms. Braelen Dawn Ivicevich Pa-c NPPES

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

MS. BRAELEN DAWN IVICEVICH PA-C (NPI 1568834893) is an individual surgical provider in Houston, Texas and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS, is affiliated with Houston Methodist Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1568834893
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMS. BRAELEN DAWN IVICEVICHCredential: PA-C
Location Address6560 FANNIN, SCURLOCK TOWER, SUITE 2200Houston, TX 77030
Mailing Address6560 Fannin, Scurlock Tower, Suite 2200Houston, TX 77030 · (281) 737-4560 · Fax (281) 737-4561
Fax(281) 737-4561
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 26, 2015
Last NPPES UpdateOctober 7, 20212 updates tracked since enumeration
NPPES CertifiedOctober 7, 2021
NPI 1568834893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
6560 FANNIN, Houston, TX 77030

Other Identifiers 2

Other8266NTTX · Blue Cross Blue Shield
Other1568834893Npi

Accepted Insurance

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

Ms. Braelen Dawn Ivicevich 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 ID3870894595
PECOS Enrollment IDI20151222000315
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

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.

Release of arm or leg nerve 64708
A release of an arm or leg nerve is a surgical procedure aimed at relieving pressure on the nerve. This pressure can cause pain, numbness, or weakness. During the procedure, the surgeon makes a small incision and gently moves tissues away from the nerve. This can help restore normal function and alleviate discomfort.
33 services14 patients

Hospital Affiliations CMS Care Compare

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

Houston Methodist Hospital

Acute Care Hospitals · Houston, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450358
Location6565 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability97
Improvement Activities40

Other Providers at the Same Location NPPES 14

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

Internal Medicine (Gastroenterology)
6560 FANNIN, STE 1404
HOUSTON, TX 77030
Dermatology
6560 FANNIN, STE 724
HOUSTON, TX 77030
Surgery (Plastic and Reconstructive Surgery)
6560 FANNIN, SUITE 704
HOUSTON, TX 77030
Urology
6560 FANNIN, SUITE 2100
HOUSTON, TX 77030
Psychiatry & Neurology (Neurology)
6560 FANNIN, SUITE 802
HOUSTON, TX 77030
Dermatology (Procedural Dermatology)
6560 FANNIN, SUITE 724
HOUSTON, TX 77030
Surgery
6560 FANNIN, #1846
HOUSTON, TX 77030
Dentist
6560 FANNIN, SUITE 1424
HOUSTON, TX 77030

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 Braelen Ivicevich's NPI number?

The NPI number for Braelen Ivicevich is 1568834893. It was assigned to this individual provider in the NPPES registry on October 26, 2015.

Where is Braelen Ivicevich located?

Braelen Ivicevich practices at 6560 Fannin Scurlock Tower, Suite 2200, Houston, TX 77030. The listed phone number is (281) 737-4560.

What is Braelen Ivicevich's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Braelen Ivicevich enrolled in Medicare?

Yes. Braelen Ivicevich 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.

What insurance does Braelen Ivicevich accept?

Health plans from Molina Healthcare list Braelen Ivicevich 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 Braelen Ivicevich affiliated with any hospitals?

According to CMS data, Braelen Ivicevich is affiliated with Houston Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Braelen Ivicevich was last updated on October 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.