BRYHANNA CHRISTINECHARLES MCCULLY (PAC) – Surgical Physician Assistant, NPI 1154919561

BRYHANNA CHRISTINECHARLES MCCULLY (PAC) is a healthcare provider. based in Lake bluff, Illinois. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PAC. They hold a License No. 085008846 (IL). The NPI Number for BRYHANNA CHRISTINECHARLES MCCULLY (PAC) is 1154919561

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
BRYHANNA CHRISTINECHARLES MCCULLY (PAC)
NPI
1154919561
Phone
(847) 535-6460
Address
525 Rockland Rd Ste 100
Enumeration Date
2 January 2021
Last Update Date
2 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8646643984
Graduation Year
2021 (5 years ago)
PAC ID
4385037332
Group Practice PAC ID
1759731383
Professional Enrollment ID
I20220707003268
Address ID
OR972102502PO1662XAVEX400

Contacts

Secure Messaging
referringeent@orclinic.direct-ci.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness95
Years active:5State licenses:2Other names

5,035 PHYSICIAN ASSISTANT in IL

Provider Addresses for BRYHANNA CHRISTINECHARLES MCCULLY (PAC)

  • 525 Rockland Rd Ste 100

    Lake Bluff, IL 600441778

    Phone: (847) 535-6460

    Fax: (847) 535-6465

    Type: Location

  • 1333 W Belmont Ave Ste 100

    Chicago, IL 606575785

    Phone: (312) 694-2273

    Fax: (312) 694-1875

    Type: Location

  • 870 N Milwaukee Ave

    Vernon Hills, IL 600611521

    Phone: (847) 475-2273

    Fax: (847) 535-7761

    Type: Location

  • 2900 Foxfield Rd Ste 100

    St Charles, IL 601745799

    Phone: (630) 377-6500

    Fax: (630) 377-6577

    Type: Location

  • 2701 Patriot Blvd Ste 110

    Glenview, IL 600268039

    Phone: (847) 475-2273

    Fax: (847) 998-9833

    Type: Location

  • 2507 N Richmond Rd Ste B

    McHenry, IL 600515407

    Phone: (815) 206-7500

    Fax: (815) 385-3255

    Type: Location

  • 1704 Maple Ave Ste 100

    Evanston, IL 602013134

    Phone: (312) 694-2273

    Fax: (312) 694-2299

    Type: Location

  • 6155 Grand Ave Ste 100

    Gurnee, IL 600311651

    Phone: (224) 271-6700

    Fax: (224) 271-6701

    Type: Location

  • 7 Blanchard Cir Ste 102

    Wheaton, IL 601892038

    Phone: (630) 682-0500

    Fax: (630) 682-1078

    Type: Location

  • 635 N Dearborn St Ste 100

    Chicago, IL 606544618

    Phone: (312) 694-2273

    Fax: (312) 694-2129

    Type: Location

  • 635 N Fairbanks Ct

    Chicago, IL 606115435

    Phone: (312) 472-3173

    Fax: (312) 472-3176

    Type: Location

  • 21202 Owens Rd Ste 101

    Mokena, IL 604482038

    Phone: (779) 334-0030

    Fax: (779) 334-0031

    Type: Location

  • 1630 Sherman Ave Ste 130

    Evanston, IL 602013711

    Phone: (312) 694-9521

    Fax: (312) 694-2299

    Type: Location

  • 10350 Haligus Rd Ste A

    Huntley, IL 601429545

    Phone: (847) 802-7500

    Fax: (847) 802-7162

    Type: Location

  • 885 Roosevelt Rd Ste 100

    Glen Ellyn, IL 601376141

    Phone: (630) 384-6200

    Fax: (630) 384-6229

    Type: Location

  • 24076 SE Stark St Ste 230

    Gresham, OR 970303385

    Phone: (503) 488-2600

    Fax: (503) 465-5468

    Type: Location

  • 636 Raymond Dr Ste 107

    Naperville, IL 605639789

    Phone: (630) 359-8396

    Fax: (630) 933-2729

    Type: Location

  • 11815 233rd St

    Cambria Heights, NY 114112227

    Phone: (347) 610-5316

    Type: Location

  • 847 NE 19TH AVE STE 300

    PORTLAND, OR 972322686

    Phone: (503) 963-2801

    Fax: (503) 963-2825

    Type: Mailing

  • 1111 NE 99TH AVE STE 101

    PORTLAND, OR 972209442

    Phone: (503) 488-2626

    Fax: (503) 488-2630

    Type: Location

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: 2022-07-07

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
I20220707003268IPhysician AssistantORTBD

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
99203New patient office or other outpatient visit, 30-44 minutes4848$0
99213Established patient office or other outpatient visit, 20-29 minutes4029$0
99212Established patient office or other outpatient visit, 10-19 minutes1813$0
99204New patient office or other outpatient visit, 45-59 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 60044)

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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: 1759731383View full group profile
NameSpecialtyState
Physician AssistantWA
Physician AssistantFL
Nurse PractitionerOR
Physician AssistantWA
Physician AssistantWA
Physician AssistantWA
Nurse PractitionerOR
Nurse PractitionerWA
Nurse PractitionerVA
Physician AssistantWA

Reviews

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Frequently asked questions

How is BRYHANNA CHRISTINECHARLES MCCULLY (PAC) identified in CMS data?
CMS-hosted NPPES data lists BRYHANNA CHRISTINECHARLES MCCULLY (PAC) with NPI 1154919561.
Is BRYHANNA CHRISTINECHARLES MCCULLY (PAC) listed as active for patients and plans?
The listing shows BRYHANNA CHRISTINECHARLES MCCULLY (PAC) as active in the NPI system.
What is BRYHANNA CHRISTINECHARLES MCCULLY (PAC)'s primary classification?
Surgical Physician Assistant is the headline specialty for BRYHANNA CHRISTINECHARLES MCCULLY (PAC) here. Clinical services aligned with this taxonomy classification.
What address line appears for BRYHANNA CHRISTINECHARLES MCCULLY (PAC)?
BRYHANNA CHRISTINECHARLES MCCULLY (PAC)'s geographic hint is Lake Bluff, Illinois in our summary view.
Is the information about BRYHANNA CHRISTINECHARLES MCCULLY (PAC) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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