BRIANNA LANGENKAMP (PA) – Physician Assistant, NPI 1053877878

BRIANNA LANGENKAMP (PA) is a healthcare provider. based in Fayetteville, Arkansas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA-895 (AR). The NPI Number for BRIANNA LANGENKAMP (PA) is 1053877878

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
BRIANNA LANGENKAMP (PA)
NPI
1053877878
Phone
Not provided
Address
4375 N VANTAGE DR STE 305
Enumeration Date
17 February 2019
Last Update Date
13 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5025836647
Graduation Year
2019 (7 years ago)
PAC ID
1153751706
Group Practice PAC ID
0143114017
Professional Enrollment ID
I20240123001793
Address ID
KY402065000LO2307XRDXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

2,510 PHYSICIAN ASSISTANT in IN

Provider Addresses for BRIANNA LANGENKAMP (PA)

  • North Vantage Drive, Stearns Street Apartments, Fayetteville, Washington County, Arkansas, 72703, United States

    FAYETTEVILLE, AR 727034984

    Phone:

    Type: Mailing

  • 2857 CHARLESTOWN RD STE 100

    NEW ALBANY, IN 471501998

    Phone: (812) 944-7500

    Fax: (812) 944-6424

    Type: Mailing

  • 825 UNIVERSITY WOODS DR STE 8

    NEW ALBANY, IN 471502427

    Phone: (812) 944-7500

    Fax: (812) 944-6424

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 101 Open Payments records for all available years, with a total value of $1,997.

Total Amount is formed as General ($1,997) + Research ($0) + Ownership ($0) = $1,997.

Last reported payment date: 2024-12-21 • Largest payer in this snapshot: ABBVIE INC. ($517).

Total Amount

$1,997

General + Research + Ownership

Payments

101

Total payment records

General Amount

$1,997

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-21

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-01-23

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20211022000675IPhysician AssistantINTBD
I20240123001793IPhysician AssistantKYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths1,303261$0
99213Established patient office or other outpatient visit, 20-29 minutes543416$0
17000Destruction of precancer skin growth, 1 growth491367$0
17110Destruction of skin growth, 1-14 growths282244$0
99214Established patient office or other outpatient visit, 30-39 minutes163150$0
View full utilization report →

Insurance plans in this area (ZIP 72703)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0143114017View full group profile
NameSpecialtyState
Physician AssistantKY
Micrographic Dermatologic Surgery (Mds)KY
-KY
Physician AssistantKY

Reviews

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Frequently asked questions

Is BRIANNA LANGENKAMP (PA) listed with a National Provider Identifier?
Yes — BRIANNA LANGENKAMP (PA) has NPI 1053877878 on file in the registry.
Is BRIANNA LANGENKAMP (PA) shown as active in public data?
Registry records indicate BRIANNA LANGENKAMP (PA) maintains an active NPI.
What area of care is associated with BRIANNA LANGENKAMP (PA)?
BRIANNA LANGENKAMP (PA)'s record emphasizes Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in Arkansas is BRIANNA LANGENKAMP (PA) registered?
Use Fayetteville, Arkansas as the headline location for BRIANNA LANGENKAMP (PA) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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