NANCY BROCKINGTON MD
NPI 1629119334
Family Medicine in Willow Creek, CA
About Nancy Brockington Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NANCY BROCKINGTON MD (NPI 1629119334) is an individual family medicine provider in Willow Creek, California, licensed in California (G69128) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of University Of California, Davis School Of Medicine (1988).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Nancy Brockington Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Nancy Brockington reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Willow Creek, CA 95573
- Reassigned Medicare billing, California enrollment
- 175 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95573 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Nancy Brockington's NPI number?
The NPI number for Nancy Brockington is 1629119334. It was assigned to this individual provider in the NPPES registry on February 8, 2007.
Where is Nancy Brockington located?
Nancy Brockington practices at 38883 Hwy 299, Willow Creek, CA 95573. The listed phone number is (530) 629-3111.
What is Nancy Brockington's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Nancy Brockington enrolled in Medicare?
Yes. Nancy Brockington 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.
Which organization bills Medicare for Nancy Brockington's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nancy Brockington reassigns Medicare benefits to Open Door Community Health Centers (Willow Creek, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nancy Brockington's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Nancy Brockington was last updated on April 19, 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.
# Nancy Brockington, MD · NPI 1629119334
Family Medicine physician in Willow Creek, California. Individual provider, active in the CMS NPPES registry since February 8, 2007.
## Identity
- **NPI:** 1629119334 (Entity type: Individual)
- **Enumerated:** February 8, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** G69128 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 38883 HWY 299, Willow Creek, CA 95573
- **Phone:** (530) 629-3111
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Open Door Community Health Centers (NPI 1730330739, Willow Creek, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of California, Davis School Of Medicine, class of 1988
## Record status
- **NPPES last updated:** April 19, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1629119334) · Data from the CMS NPPES public registry.