Individual provider Active NPI

Breanna Marie Perzanowski, PA-C

  • Physician Assistant
  • Cambridge, OH
National Provider Identifier
1164981106
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1335 Clark St
Cambridge, OH 43725-9614
Phone
(740) 432-2144
NPI assigned
Mar 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 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 Primary

Addresses

Primary practice location

1335 Clark St
Cambridge, OH 43725-9614

Mailing address

1335 Clark St
Cambridge, OH 43725-9614
Phone (740) 432-2144

Electronic endpoints 5

TypeEndpointUseAffiliation
CONNECT URL BMPerzanowski@seormc.org
Direct Messaging Address BMPerzanowski@seormc.org Direct Southeastern Ohio Regional Medical Center Inc
Direct Messaging Address bperzanowski197537@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address bperzanowski197537@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address bperzanowski197537@direct.wvuhsdirect.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, WV2 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
I20190813003682 OH Practitioner - Physician Assistant 7315274362
I20200908002883 WV Practitioner - Physician Assistant 7315274362 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wheeling Hospital IncGroup PAC ID 5799689493, 433 clinicians

Practice addresses (Care Compare)

1 Medical Park
Wheeling, WV 26003-6379

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2399WVMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Fayette Physician Network Inc CurrentSince Sep 1, 2022 Accepting new patients
Reynolds Memorial Hospital, Inc CurrentSince Aug 25, 2024 Accepting new patients
West Virginia University Hospitals, Inc. Physician Assistant CurrentSince Jun 30, 2020 Accepting new patients
Wheeling Hospital Inc CurrentSince Jul 1, 2023 Accepting new patients
Wheeling Hospital Inc Past Accepting new patients

Locations

800 Wheeling Ave
Glen Dale, WV 26038
Phone (304) 221-4520

800 Garfield Ave
Parkersburg, WV 26101
Phone (304) 420-7161

1 Medical Park
Wheeling, WV 26003
Phone (304) 243-3124

Interoperability endpoints

  • Direct secure messaging: bperzanowski197537@direct.wvuhsdirect.com
  • Direct secure messaging: bmperzanowski@seormc.org

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1164981106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 CLARK ST",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437259614",
            "telephone_number": "740-432-2144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 CLARK ST",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437259614",
            "telephone_number": "740-432-2144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERZANOWSKI",
        "first_name": "BREANNA",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-19",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "BMPerzanowski@seormc.org",
            "affiliation": "N",
            "address_1": "1335 Clark St",
            "city": "Cambridge",
            "state": "OH",
            "country_code": "US",
            "postal_code": "437259614",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "BMPerzanowski@seormc.org",
            "affiliation": "Y",
            "affiliationName": "Southeastern Ohio Regional Medical Center Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1335 Clark St",
            "city": "Cambridge",
            "state": "OH",
            "country_code": "US",
            "postal_code": "437259614",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bperzanowski197537@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 Medical Park",
            "city": "Wheeling",
            "state": "WV",
            "country_code": "US",
            "postal_code": "260036379",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bperzanowski197537@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 Medical Park",
            "city": "Wheeling",
            "state": "WV",
            "country_code": "US",
            "postal_code": "260036379",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bperzanowski197537@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 Medical Park",
            "city": "Wheeling",
            "state": "WV",
            "country_code": "US",
            "postal_code": "260036379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cambridge, OH

Sources for this page

Verify at the official NPI Registry.