Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brock Alan Wooten

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1659116408

Brock Alan Wooten is a Nurse Practitioner in Seattle, Washington. Qualified in 2024, 2 years ago. Practices with Kaskel Psychological Associates, a 43-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Ohio and Washington.

Years since qualifying
2
Licensed in
OH, WA
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

2111 N Northgate Way Ste 216
Seattle, WA 98133-9018
Phone: (206) 385-9636
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence AP70035795 (WA)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence APRN.CNP.0036699 (OH)

Record details

NPI number1659116408
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 25, 2024
Last updated in NPPESJanuary 8, 2026
Certification dateJanuary 8, 2026
Mailing address2111 N Northgate Way Ste 216, Seattle, WA 98133-9018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Kaskel Psychological Associates — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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