NPIMap

Individual provider Active NPI

Breanna Little

  • Physician Assistant
  • Fountain Hill, PA
National Provider Identifier
1003218777
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA057182 Issued in PA
Practice address
701 Ostrum St
Suite 302
Fountain Hill, PA 18015-1155
Phone
(484) 526-6000
NPI assigned
Sep 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA057182 PA Primary

Addresses

Primary practice location

701 Ostrum St
Suite 302
Fountain Hill, PA 18015-1155

Mailing address

43 W Ridge Pike
Limerick, PA 19468-1711
Phone (610) 226-6200

Other practice location 1

43 W Ridge Pike
Limerick, PA 19468-1711
Phone (610) 226-6200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141118001803 PA Practitioner - Physician Assistant 2264654755 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tower Health Urgent Care, LLCGroup PAC ID 2668716069, 57 clinicians

Practice addresses (Care Compare)

1050 E Philadelphia Ave
Gilbertsville, PA 19525-9517
Phone (610) 561-6400

1139 Ben Franklin Hwy W
Suite 114
Douglassville, PA 19518-1853
Phone (610) 385-4444

16 Glocker Way
Pottstown, PA 19465-9655
Phone (484) 659-1500

33 W Ridge Pike
Suite 627
Limerick, PA 19468-1824
Phone (610) 226-6200

4603 Perkiomen Ave
Reading, PA 19606-3217
Phone (484) 750-3895

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.28 of 100Reported as group
Quality
82.46
Promoting interoperability
97
Improvement activities
40
Cost
44.29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA057182PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke'S Physician Group, Inc. CurrentSince Sep 22, 2014 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Sep 22, 2014 Accepting new patients

Locations

325 N 5th St
Allentown, PA 18102
Phone (610) 433-3143

701 Ostrum St
Ste 302
Fountain Hill, PA 18015
Phone (484) 526-6000

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1411516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1003218777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 W RIDGE PIKE",
            "city": "LIMERICK",
            "state": "PA",
            "postal_code": "194681711",
            "telephone_number": "610-226-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 OSTRUM ST",
            "address_2": "SUITE 302",
            "city": "FOUNTAIN HILL",
            "state": "PA",
            "postal_code": "180151155",
            "telephone_number": "484-526-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43 W Ridge Pike",
            "address_purpose": "LOCATION",
            "city": "Limerick",
            "state": "PA",
            "postal_code": "194681711",
            "country_code": "US",
            "telephone_number": "610-226-6200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LITTLE",
        "first_name": "BREANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-24",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA057182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Hill, PA

Sources for this page

Verify at the official NPI Registry.