Individual provider Active NPI

Breanna Edmiston, PA-C

  • Physician Assistant
  • Monaca, PA
National Provider Identifier
1013544840
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
3468 Brodhead Rd Ste 12
Monaca, PA 15061-3149
Phone
(724) 728-3575
NPI assigned
Mar 23, 2020
Last updated
Jan 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MA059675 PA
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

3468 Brodhead Rd Ste 12
Monaca, PA 15061-3149

Mailing address

3468 Brodhead Rd Ste 12
Monaca, PA 15061-3149
Phone (724) 728-3575

Other practice location 1

1030 Beaner Hollow Rd
Beaver, PA 15009-9722
Phone (724) 775-4242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200724001201 PA Practitioner - Physician Assistant 3870917768 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri State Obstetrics and GynecologyGroup PAC ID 5597659334, 8 clinicians

Practice addresses (Care Compare)

1000 Dutch Ridge Rd
Beaver, PA 15009-9727
Phone (724) 773-6403

2580 Constitution Blvd
Beaver Falls, PA 15010-1294
Phone (724) 843-0737

500 Sharon Rd
Beaver, PA 15009-1957
Phone (724) 728-8751

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA059675PAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Medical Facilities, Inc. CurrentSince Aug 9, 2023 Accepting new patients
Valley Medical Facilities Inc CurrentSince Aug 9, 2023 Accepting new patients
Valley Medical Facilities Inc CurrentSince Aug 9, 2023 Accepting new patients
Valley Medical Facilities Inc CurrentSince Aug 9, 2023 Accepting new patients

Locations

1000 Dutch Ridge Rd
Beaver, PA 15009
Phone (724) 728-7000

1000 Dutch Ridge Rd
#0
Beaver, PA 15009

1030 Beaner Hollow Rd
Beaver, PA 15009
Phone (724) 774-0778

2580 Constitution Blvd
Beaver Falls, PA 15010
Phone (724) 770-7999

25 Heckel Rd
Mc Kees Rocks, PA 15136
Phone (412) 777-6161

720 Blackburn Rd
Sewickley, PA 15143
Phone (412) 741-6600

Interoperability endpoints

  • Direct secure messaging: breannaedmiston@hvhs.allscriptsdirect.net

Organizations & group practices 6

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

Hospital & facility affiliations 3

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": "1584921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1013544840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3468 BRODHEAD RD STE 12",
            "city": "MONACA",
            "state": "PA",
            "postal_code": "150613149",
            "telephone_number": "724-728-3575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3468 BRODHEAD RD STE 12",
            "city": "MONACA",
            "state": "PA",
            "postal_code": "150613149",
            "telephone_number": "724-728-3575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1030 Beaner Hollow Rd",
            "address_purpose": "LOCATION",
            "city": "Beaver",
            "state": "PA",
            "postal_code": "150099722",
            "country_code": "US",
            "telephone_number": "724-775-4242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDMISTON",
        "first_name": "BREANNA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-23",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "MA059675",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monaca, PA

Sources for this page

Verify at the official NPI Registry.