BRYANNE IRENE SALMONSEN (PA) – Medical Physician Assistant, NPI 1477142008

BRYANNE IRENE SALMONSEN (PA) is a healthcare provider. based in Bristol, Vermont. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 2411 (NV). The NPI Number for BRYANNE IRENE SALMONSEN (PA) is 1477142008

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
BRYANNE IRENE SALMONSEN (PA)
NPI
1477142008
Phone
(802) 453-3911
Address
61 PINE ST STE 400
Enumeration Date
18 January 2021
Last Update Date
26 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8024536843
Graduation Year
2020 (6 years ago)
PAC ID
2163838095
Group Practice PAC ID
9638321342
Professional Enrollment ID
I20231010003062
Address ID
VT054431043BR61XXXSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:5State licenses:2Digital endpointsOther names

385 PHYSICIAN ASSISTANT in VT

Provider Addresses for BRYANNE IRENE SALMONSEN (PA)

  • 61 PINE ST STE 400

    BRISTOL, VT 054431043

    Phone: (802) 453-3911

    Type: Mailing

  • 1691 THE ALAMEDA

    SAN JOSE, CA 951262203

    Phone: (408) 287-7526

    Type: Mailing

  • 455 W 5th St

    Reno, NV 895034413

    Phone: (775) 688-5555

    Type: Location

  • 623 Thoma St

    Reno, NV 895020906

    Phone: (978) 578-5576

    Type: Location

  • 455 W 5TH ST

    RENO, NV 895034413

    Phone: (775) 688-5555

    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: 2023-10-10

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
I20231010003062IPhysician AssistantVTTBD

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 05443)

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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: 9638321342View full group profile
NameSpecialtyState
Family PracticeVT
-VT
Internal Medicine, Obstetrics/Gynecology, Family PracticeVT
-VT
Nurse PractitionerMA
-VT
Nurse PractitionerVT
-VT
Nurse PractitionerVT
Family PracticeMO

Reviews

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Frequently asked questions

Does BRYANNE IRENE SALMONSEN (PA) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — BRYANNE IRENE SALMONSEN (PA) uses 1477142008.
Can I rely on BRYANNE IRENE SALMONSEN (PA) being an active provider?
As of the registry snapshot, BRYANNE IRENE SALMONSEN (PA) is marked active.
What healthcare role does BRYANNE IRENE SALMONSEN (PA) hold?
Scheduling teams often label BRYANNE IRENE SALMONSEN (PA) under Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What address line appears for BRYANNE IRENE SALMONSEN (PA)?
BRYANNE IRENE SALMONSEN (PA)'s geographic hint is Bristol, Vermont in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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