BREANNA ALISIA YOUNG (PA-C) – Physician Assistant, NPI 1821695339

BREANNA ALISIA YOUNG (PA-C) is a healthcare provider. based in Glenrock, Wyoming. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for BREANNA ALISIA YOUNG (PA-C) is 1821695339

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
BREANNA ALISIA YOUNG (PA-C)
NPI
1821695339
Phone
Not provided
Address
PO BOX 902
Enumeration Date
7 October 2020
Last Update Date
30 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2020 (6 years ago)
PAC ID
2668886250
Group Practice PAC ID
0840513552
Professional Enrollment ID
I20240822001729
Address ID
CO800071400AR15389DRXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness75
Years active:5State licenses:0Digital endpointsOther names

323 PHYSICIAN ASSISTANT in WY

Provider Addresses for BREANNA ALISIA YOUNG (PA-C)

  • PO BOX 902

    GLENROCK, WY 826370902

    Phone:

    Type: Mailing

  • 521 SHOSHONI TRL

    GLENROCK, WY 826375217

    Phone: (307) 259-9456

    Type: Location

  • 2874 N CARSON ST STE 120

    CARSON CITY, NV 897061681

    Phone: (775) 445-5181

    Type: Mailing

  • 15389 W 91ST DR STE 200

    ARVADA, CO 800071406

    Phone: (034) 037-9333

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 139 Open Payments records for all available years, with a total value of $3,852.

Total Amount is formed as General ($3,852) + Research ($0) + Ownership ($0) = $3,852.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Lilly USA, LLC ($445).

Total Amount

$3,852

General + Research + Ownership

Payments

139

Total payment records

General Amount

$3,852

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2024-08-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20210121002296IPhysician AssistantNVTBD
I20240822001729IPhysician AssistantCOTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes795312$0
95251Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report372143$0
95249Continuous monitoring of blood sugar level in tissue fluid using sensor under skin2727$0
99213Established patient office or other outpatient visit, 20-29 minutes1917$0
View full utilization report →

Insurance plans in this area (ZIP 82637)

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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: 0840513552View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YCO
-CA
-CO
Physician AssistantCO
Hospitalist, Family PracticeCO
-CO
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineCO
O B S T E T R I C S/ G Y N E C O L O G YCO
-CO
-CO

Reviews

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Frequently asked questions

What is the registry number for BREANNA ALISIA YOUNG (PA-C)?
The registry entry for BREANNA ALISIA YOUNG (PA-C) shows NPI 1821695339.
Should I treat BREANNA ALISIA YOUNG (PA-C) as an active provider?
Patients and plans typically see BREANNA ALISIA YOUNG (PA-C) as active in the national extract.
What does the directory say BREANNA ALISIA YOUNG (PA-C) does?
Insurance directories may phrase it differently, but here BREANNA ALISIA YOUNG (PA-C) maps to Physician Assistant. Clinical services aligned with this taxonomy classification.
Is BREANNA ALISIA YOUNG (PA-C) tied to Glenrock, Wyoming?
If you are local to Glenrock, Wyoming, BREANNA ALISIA YOUNG (PA-C) may be relevant to your search.
Why is information missing for BREANNA ALISIA YOUNG (PA-C)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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