BREANNA EDMISTON (PA-C) – Physician Assistant, NPI 1013544840

BREANNA EDMISTON (PA-C) is a healthcare provider. based in Monaca, Pennsylvania. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. MA059675 (PA). The NPI Number for BREANNA EDMISTON (PA-C) is 1013544840

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
BREANNA EDMISTON (PA-C)
NPI
1013544840
Phone
(724) 728-3575
Address
3468 BRODHEAD RD STE 12
Enumeration Date
23 March 2020
Last Update Date
3 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7247288751
Graduation Year
2016 (10 years ago)
PAC ID
3870917768
Group Practice PAC ID
0042105678
Professional Enrollment ID
I20200724001201
Address ID
PA150091957BE500XXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

9,691 PHYSICIAN ASSISTANT in PA

Provider Addresses for BREANNA EDMISTON (PA-C)

  • 3468 BRODHEAD RD STE 12

    MONACA, PA 150613149

    Phone: (724) 728-3575

    Type: Mailing

  • 1030 Beaner Hollow Rd

    Beaver, PA 150099722

    Phone: (724) 775-4242

    Type: Location

  • 5240 WEBB ST

    ALIQUIPPA, PA 150014946

    Phone: (412) 849-6849

    Type: Mailing

  • 1030 BEANER HOLLOW RD

    BEAVER, PA 150099722

    Phone: (724) 775-4242

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $134.

Total Amount is formed as General ($134) + Research ($0) + Ownership ($0) = $134.

Last reported payment date: 2024-05-30 • Largest payer in this snapshot: Ferring Pharmaceuticals Inc. ($81).

Total Amount

$134

General + Research + Ownership

Payments

6

Total payment records

General Amount

$134

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-30

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: 2020-07-24

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
I20200724001201IPhysician AssistantPATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 15061)

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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: 0042105678View full group profile
NameSpecialtyState
-PA
-PA
-PA
Physician AssistantPA
-PA
H O S P I T A L I S TPA
Interventional Cardiology, Cardiovascular Disease (Cardiology)PA
Physician AssistantNY
-NC
Internal MedicinePA

Reviews

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Frequently asked questions

Can I use this page to confirm BREANNA EDMISTON (PA-C)'s NPI?
Yes. BREANNA EDMISTON (PA-C) is listed with NPI 1013544840 in the public NPI dataset.
Is BREANNA EDMISTON (PA-C) listed as active for patients and plans?
The listing shows BREANNA EDMISTON (PA-C) as active in the NPI system.
What is BREANNA EDMISTON (PA-C) best known for clinically?
Directory data describes BREANNA EDMISTON (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is BREANNA EDMISTON (PA-C) based?
BREANNA EDMISTON (PA-C) is tied to Monaca, Pennsylvania in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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