BREONNA KALI TRUSCELLO (PA) – Medical Physician Assistant, NPI 1386379634
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,738 PHYSICIAN ASSISTANT in PA
Provider Addresses for BREONNA KALI TRUSCELLO (PA)
430 Stonycreek St
Boswell, PA 155311024
Phone: (814) 629-5612
Fax: (814) 629-7199
Type: Location
136 S Pine Ave
Stoystown, PA 155636002
Phone: (814) 893-5568
Fax: (814) 893-5989
Type: Location
430 STONYCREEK ST
BOSWELL, PA 155311024
Phone: (814) 629-5612
Fax: (814) 629-7199
Type: Mailing
640 KOLTER DR
INDIANA, PA 157013570
Phone: (724) 357-7333
Type: Mailing
167 ZEMAN DR
EBENSBURG, PA 159314103
Phone: (814) 472-9119
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $23.
Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.
Last reported payment date: 2023-04-13 • Largest payer in this snapshot: ABBVIE INC. ($23).
Total Amount
$23
General + Research + Ownership
Payments
1
Total payment records
General Amount
$23
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-04-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $23 |
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: 2022-09-28
PECOS data refreshed: 2026-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220928001824 | I | Physician Assistant | PA | TBD |
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.
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 15531)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Radiation Oncology | KS | |
| Radiation Oncology | WA | |
| Psychiatry, Pediatric Medicine | PA | |
| Physician Assistant | PA | |
| Clinical Psychologist | PA | |
| P S Y C H I A T R Y | PA | |
| - | PA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | PA | |
| Physician Assistant | PA | |
| N E U R O L O G Y | PA |
Reviews
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