BRIELLE HANNAH GOLDBERG - NPI 1629609011 - Physician Assistant in Madison, WI

Q: What is Brielle Goldberg's NPI number?

The NPI number for Brielle Goldberg is 1629609011. It was assigned to this individual provider in the NPPES registry on February 4, 2020.

Q: What is Brielle Goldberg's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Brielle Goldberg was last updated on December 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.

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About Brielle Hannah Goldberg NPPES

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

BRIELLE HANNAH GOLDBERG (NPI 1629609011) is an individual physician assistant in Madison, Wisconsin, licensed in Arizona (PA10752) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629609011

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameBRIELLE HANNAH GOLDBERG

Location Address2000 OBSERVATORY DRMadison, WI 53706-1121

Mailing Address35 Belamour DrWashington Crossing, PA 18977-1368 · (267) 907-3148

Phone(267) 907-3148

Sole ProprietorNo

Enumeration DateFebruary 4, 2020

Last NPPES UpdateDecember 2, 20242 updates tracked since enumeration

NPPES CertifiedDecember 2, 2024

✔ NPI 1629609011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in AZ · PA10752

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2000 OBSERVATORY DR, Madison, WI 53706

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.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)

Brielle Hannah Goldberg is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53706 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

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 9

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

DAVID BELL PHD, ATC

Clinical Medical Laboratory