SAMANTHA B BRUNNER PA-C
NPI 1639451750
Physician Assistant in Grand Coulee, WA

Active since September 14, 2011PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
411 FORTUYN RD, GRAND COULEE, WA 99133(509) 633-1911(509) 633-3644 Get Directions Write a Review

NPPES record last updated: October 1, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 1, 2020, Dec 3, 2018 (2 updates tracked since 2018).

About Samantha B Brunner Pa-c NPPES

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

SAMANTHA B BRUNNER PA-C (NPI 1639451750) is an individual physician assistant in Grand Coulee, Washington, licensed in Washington (PA60233756) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1639451750
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSAMANTHA B BRUNNERCredential: PA-C
Location Address411 FORTUYN RDGrand Coulee, WA 99133-8718
Mailing Address411 Fortuyn RdGrand Coulee, WA 99133-8718 · (509) 633-1911 · Fax (509) 633-3644
Fax(509) 633-3644
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateSeptember 14, 2011
Last NPPES UpdateOctober 1, 20202 updates tracked since enumeration
NPPES CertifiedOctober 1, 2020
NPI 1639451750 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 WA · PA60233756
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 ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License PA60233756 (WA)
411 FORTUYN RD, Grand Coulee, WA 99133

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

Samantha B Brunner 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 ID3577737832
PECOS Enrollment IDI20111122000870
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.

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.
41 services41 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.
32 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99133 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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.

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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

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.

Physical Therapist
411 FORTUYN RD
GRAND COULEE, WA 99133
Clinic/Center (Primary Care)
411 FORTUYN RD
GRAND COULEE, WA 99133
Long Term Care Hospital
411 FORTUYN RD
GRAND COULEE, WA 99133
General Acute Care Hospital (Critical Access)
411 FORTUYN RD
GRAND COULEE, WA 99133
Family Medicine
411 FORTUYN RD
GRAND COULEE, WA 99133
Registered Nurse
411 FORTUYN RD
GRAND COULEE, WA 99133
Physician Assistant
411 FORTUYN RD
GRAND COULEE, WA 99133
General Acute Care Hospital (Critical Access)
411 FORTUYN RD
GRAND COULEE, WA 99133

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 Samantha Brunner's NPI number?

The NPI number for Samantha Brunner is 1639451750. It was assigned to this individual provider in the NPPES registry on September 14, 2011.

Where is Samantha Brunner located?

Samantha Brunner practices at 411 Fortuyn Rd, Grand Coulee, WA 99133. The listed phone number is (509) 633-1911.

What is Samantha Brunner's specialty?

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

Is Samantha Brunner enrolled in Medicare?

Yes. Samantha Brunner 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 Samantha Brunner accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan and 1 other insurer list Samantha Brunner 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.

When was this NPI record last updated?

The NPPES record for Samantha Brunner was last updated on October 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.