Individual provider Active NPI

Brianna Nicole St Hilaire, PA-C

  • Medical Physician Assistant
  • Lancaster, PA
National Provider Identifier
1043809502
Registry record updated Oct 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA062318 Issued in PA
Practice address
150 Farmington LN Ste 4
Lancaster, PA 17601-6239
Phone
(717) 431-7546
NPI assigned
Jan 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X
Medical Physician Assistant 363AM0700X MA062318 PA Primary

Addresses

Primary practice location

150 Farmington LN Ste 4
Lancaster, PA 17601-6239

Mailing address

1175 Walnut Bottom Rd
Carlisle, PA 17015-9160
Phone (717) 258-9355

Other practice location 1

1175 Walnut Bottom Rd
Carlisle, PA 17015-9160
Phone (717) 258-9355

Other practice location 2

3705 Barnstaple Rd
Mechanicsburg, PA 17050-9168
Phone (717) 599-9342

Other practice location 3

2323 Linglestown Rd
Harrisburg, PA 17110-9424
Phone (717) 510-9355

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
I20210318000199 PA Practitioner - Physician Assistant 3577970573 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA062318PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services CurrentSince Nov 13, 2022 Accepting new patients
Pinnacle Health Medical Services CurrentSince Nov 13, 2022 Accepting new patients

Locations

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

2323 Linglestown Rd
Harrisburg, PA 17110
Phone (717) 516-6405

Interoperability endpoints

  • Direct secure messaging: bmarnie@pennderm.emadirect.md

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.

NPI Registry JSON

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

{
    "created_epoch": "1610323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729382400000",
    "number": "1043809502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 WALNUT BOTTOM RD",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170159160",
            "telephone_number": "717-258-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 FARMINGTON LN STE 4",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176016239",
            "telephone_number": "717-431-7546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1175 Walnut Bottom Rd",
            "address_purpose": "LOCATION",
            "city": "Carlisle",
            "state": "PA",
            "postal_code": "170159160",
            "country_code": "US",
            "telephone_number": "717-258-9355",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3705 Barnstaple Rd",
            "address_purpose": "LOCATION",
            "city": "Mechanicsburg",
            "state": "PA",
            "postal_code": "170509168",
            "country_code": "US",
            "telephone_number": "717-599-9342",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2323 Linglestown Rd",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171109424",
            "country_code": "US",
            "telephone_number": "717-510-9355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ST HILAIRE",
        "first_name": "BRIANNA",
        "middle_name": "NICOLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-11",
        "last_updated": "2024-10-20",
        "certification_date": "2024-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA062318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.