Tara Nicole Brzezinski
NPI 1124732623ActiveIndividual· Physician Assistant· Flagstaff, AZ
Physician Assistant with Genesis OB GYN PLLC, practicing in Flagstaff, Arizona. Enrolled in Medicare as practitioner - physician assistant. Hologic Sales and Service, LLC reported $108.12 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1124732623 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Jan 9, 2023 |
| Last updated in NPPES | Jul 14, 2026 |
| Certified by provider | Jul 14, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 10615 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (AZ) |
|---|
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Genesis OB GYN PLLCOro Valley, AZ · 110 clinicians
Industry payments (Open Payments)
- 2024$108.12 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Hologic Sales and Service, LLC | $108.12 | 1 |
What the 2024 payments were for
- Food and Beverage$108.12 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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