{
  "npi": "1093120131",
  "enumeration_type": "NPI-1",
  "basic": {
    "certification_date": "2024-07-11",
    "credential": "PA-C",
    "enumeration_date": "2014-06-27",
    "first_name": "COURTNEY",
    "last_name": "BREVER",
    "last_updated": "2024-07-11",
    "middle_name": "LYNN",
    "sex": "F",
    "sole_proprietor": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "1200 SIXTH AVE N",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "ST CLOUD",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "320-255-5714",
      "postal_code": "563032735",
      "state": "MN",
      "telephone_number": "320-656-7020"
    },
    {
      "address_1": "1200 SIXTH AVE N",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "ST CLOUD",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "320-255-5714",
      "postal_code": "563032735",
      "state": "MN",
      "telephone_number": "320-656-7020"
    }
  ],
  "taxonomies": [
    {
      "code": "363A00000X",
      "desc": "Physician Assistant",
      "license": "11586",
      "primary": true,
      "state": "MN",
      "taxonomy_group": ""
    }
  ],
  "compliance": {
    "oig_leie_exclusion": {
      "excluded": false,
      "status": "CLEAR",
      "matches": [],
      "totalDbRecords": 84224
    },
    "cms_pecos_eligibility": {
      "NPI": "1093120131",
      "LAST_NAME": "BREVER",
      "FIRST_NAME": "COURTNEY",
      "PARTB": "Y",
      "DME": "Y",
      "HHA": "Y",
      "PMD": "Y",
      "HOSPICE": "N"
    }
  },
  "medicare_utilization": {
    "total_beneficiaries": "293",
    "total_services": "332",
    "total_medicare_allowed_amt": "30947.16",
    "top_hcpcs_services": [
      {
        "code": "99213",
        "description": "Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more",
        "services": "14",
        "beneficiaries": "14"
      },
      {
        "code": "99214",
        "description": "Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more",
        "services": "211",
        "beneficiaries": "192"
      },
      {
        "code": "99222",
        "description": "Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes",
        "services": "18",
        "beneficiaries": "18"
      },
      {
        "code": "99232",
        "description": "Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes",
        "services": "49",
        "beneficiaries": "44"
      }
    ]
  },
  "enrichment": {
    "plain_english_specialty": "Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "97",
        "medicare_type": "Physician Assistant"
      }
    ]
  }
}