Individual provider Active NPI

Brianna Langenkamp, PA

  • Physician Assistant
  • New Albany, IN
National Provider Identifier
1053877878
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA-895 Issued in AR
Practice address
2857 Charlestown Rd Ste 100
New Albany, IN 47150-1998
Phone
(812) 944-7500
Fax
(812) 944-6424
NPI assigned
Feb 17, 2019
Last updated
Jul 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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 PA-895 AR Primary

Addresses

Primary practice location

2857 Charlestown Rd Ste 100
New Albany, IN 47150-1998

Mailing address

2857 Charlestown Rd Ste 100
New Albany, IN 47150-1998
Phone (812) 944-7500

Other names 1

  • Brianna Patterson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211022000675 IN Practitioner - Physician Assistant 1153751706 Reassigns benefits to 1 organization
I20240123001793 KY Practitioner - Physician Assistant 1153751706 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skin Group PLLCGroup PAC ID 0143114017, 4 clinicians

Practice addresses (Care Compare)

2307 River Rd
Suite 101
Louisville, KY 40206-5000
Phone (502) 583-6647

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA-895ARMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalskin Medical Group Il PLLC CurrentSince Aug 10, 2022 Accepting new patients
Skin Group PLLC Past Accepting new patients
Ameripath SC Inc PastSince May 1, 2020 Accepting new patients

Locations

1111 W Kenyon Rd
Ste A
Urbana, IL 61801

2857 Charlestown Rd
Ste 10
New Albany, IN 47150
Phone (819) 944-4656

2857 Charlestown Rd
Ste 100
New Albany, IN 47150
Phone (812) 944-7500

825 University Woods Dr
Ste 8
New Albany, IN 47150
Phone (812) 944-7500

Interoperability endpoints

  • Direct secure messaging: blangenkamp@skingroup.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1550361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1053877878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2857 CHARLESTOWN RD STE 100",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471501998",
            "telephone_number": "812-944-7500",
            "fax_number": "812-944-6424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2857 CHARLESTOWN RD STE 100",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471501998",
            "telephone_number": "812-944-7500",
            "fax_number": "812-944-6424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGENKAMP",
        "first_name": "BRIANNA",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-17",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AR",
            "license": "PA-895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIANNA",
            "last_name": "PATTERSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Albany, IN

Sources for this page

Verify at the official NPI Registry.