MRS. BRIANA MARIE PETERSON (PA-C) – Medical Physician Assistant, NPI 1770694945

MRS. BRIANA MARIE PETERSON (PA-C) is a healthcare provider. based in Manchester, Connecticut. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 001595 (CT). The NPI Number for MRS. BRIANA MARIE PETERSON (PA-C) is 1770694945

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
MRS. BRIANA MARIE PETERSON (PA-C)
NPI
1770694945
Phone
(860) 646-4334
Address
574 E MIDDLE TPKE
Enumeration Date
31 August 2006
Last Update Date
5 January 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2004 (22 years ago)
PAC ID
2365498284
Group Practice PAC ID
1355246950
Professional Enrollment ID
I20050323001383
Address ID
CT060403816MA515XXTURN400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,244 PHYSICIAN ASSISTANT in CT

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Provider Addresses for MRS. BRIANA MARIE PETERSON (PA-C)

  • Middle Turnpike West, Manchester, Capitol Planning Region, Connecticut, 06040, United States

    MANCHESTER, CT 060403730

    Phone: (860) 646-4334

    Fax: (860) 646-7020

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2005-03-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20050323001383IPhysician AssistantCTTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes11293$0
99214Established patient office or other outpatient visit, 30-39 minutes10672$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count8274$0
80053Blood test, comprehensive group of blood chemicals7870$0
84443Blood test, thyroid stimulating hormone (tsh)7466$0
View full utilization report →

Insurance plans in this area (ZIP 06040)

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Provider's Procedures

MRS. BRIANA MARIE PETERSON (PA-C) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTCT90670Pneumococcal vaccine for injection into muscle4343

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: 1355246950View full group profile

Reviews

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Frequently asked questions

Does MRS. BRIANA MARIE PETERSON (PA-C) have a public NPI I can cite?
Public records show MRS. BRIANA MARIE PETERSON (PA-C) under NPI 1770694945.
Should I treat MRS. BRIANA MARIE PETERSON (PA-C) as an active provider?
Patients and plans typically see MRS. BRIANA MARIE PETERSON (PA-C) as active in the national extract.
What type of care does MRS. BRIANA MARIE PETERSON (PA-C) provide?
MRS. BRIANA MARIE PETERSON (PA-C)'s profile centers on Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Can patients visit MRS. BRIANA MARIE PETERSON (PA-C) in Manchester, Connecticut?
For routing, start with Manchester, Connecticut for MRS. BRIANA MARIE PETERSON (PA-C), then verify phone and hours locally.
Who maintains MRS. BRIANA MARIE PETERSON (PA-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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