Breanna Edmiston, PA-C
Individual provider Active NPI Physician Assistant · Monaca, PA
NPI 1013544840 · NPPES record last updated Jan 3, 2025
Key facts
- NPI
- 1013544840
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 3468 Brodhead Rd Ste 12
Monaca, PA 15061-3149 - Phone
- (724) 728-3575
- NPI assigned
- Mar 23, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Heritage Valley Multispecialty Group Inc
Tri State Obstetrics and Gynecology
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
- Heritage Valley Beaver
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200724001201 | PA | Practitioner - Physician Assistant | 3870917768 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA059675 | PA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Medical Facilities Inc | Current |
Accepting new patients | |
| Valley Medical Facilities, Inc. | Current |
Accepting new patients | |
| Valley Medical Facilities Inc | Current |
Accepting new patients | |
| Valley Medical Facilities Inc | Current |
Accepting new patients |
Locations
1030 Beaner Hollow Rd
Beaver, PA 15009
Phone (724) 774-0778
1000 Dutch Ridge Rd
#0
Beaver, PA 15009
1000 Dutch Ridge Rd
Beaver, PA 15009
Phone (724) 728-7000
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
- breannaedmiston@hvhs.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | MA059675 | PA | |
| Physician Assistant | 363A00000X | Yes |
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
Other providers in Monaca, PA
- Joseph Michael Dragonjac
- Michael Francis Dragonjac
- Thomas Matthew Dugan Jr.
- Silvia Dunn
- Michael Allen Dunne
- Geena Marie Edmonds
- Kevin Wayne Edwards
- Arthur J Ernst Jr.
- Express Med Pharmaceuticals, Inc.
- Michael Fialkowski
All providers in Monaca, PA · Physician Assistant in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.