Brenna Ann Sanislo

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

300 W Ottley Ave
Fruita, CO 81521-2118

Phone

(970) 858-2705

NPI assigned

Aug 30, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Intermountain Medical Group Grand Junction, LLCGroup PAC ID 3779707856, 297 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Family Health West Hospital Hospital, Fruita, CO, CCN 061302
• Intermountain Health St. Mary'S Regional Hospital Hospital, Grand Junction, CO, CCN 060023

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Intermountain Medical Group Grand Junction, LLC

  • Orthopaedic Surgery Physician
  • Grand Junction, CO
  • NPI 1356765556
  Medicare reassignment Care Compare group
• Lower Valley Hospital Association

  • Critical Access Hospital
  • Fruita, CO
  • NPI 1861496697
  Medicare reassignment NPD
• Lower Valley Hospital Association

  • Anesthesiology Physician
  • Fruita, CO
  • NPI 1609190206
  Medicare reassignment NPD (past)
• Intermountain Medical Group Grand Junction, LLC

  • Cardiovascular Disease Physician
  • Grand Junction, CO
  • NPI 1598570665
  NPD
• Intermountain Medical Group Grand Junction, LLC

  • Durable Medical Equipment & Medical Supplies
  • Grand Junction, CO
  • NPI 1609737618
  NPD
• Lower Valley Hospital Association

  • Endocrinology, Diabetes & Metabolism Physician
  • Fruita, CO
  • NPI 1346095098
  NPD
• Lower Valley Hospital Association

  • Urgent Care Clinic/Center
  • Fruita, CO
  • NPI 1902538796
  NPD
• Lower Valley Hospital Association

  • Family Medicine Physician
  • Fruita, CO
  • NPI 1538626833
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lower Valley Hospital Association

  • Critical Access Hospital
  • Fruita, CO
  • NPI 1861496697
  Care Compare affiliation
• St Mary'S Hospital and Medical Center, Inc

  • Ambulance
  • Grand Junction, CO
  • NPI 1164060877

  Hospital

  Care Compare affiliation
• St Mary'S Hospital and Medical Center, Inc

  • General Acute Care Hospital
  • Grand Junction, CO
  • NPI 1619742806
  Care Compare affiliation
• St Mary'S Hospital and Medical Center, Inc

  • General Acute Care Hospital
  • Grand Junction, CO
  • NPI 1821647801
  Care Compare affiliation
• St. Mary'S Hospital and Medical Center, Inc.

  • General Acute Care Hospital
  • Grand Junction, CO
  • NPI 1699716027
  Care Compare affiliation

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

{
    "created_epoch": "1598745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1245843085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3230 BEECHWOOD ST",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815064833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W OTTLEY AVE",
            "city": "FRUITA",
            "state": "CO",
            "postal_code": "815212118",
            "telephone_number": "970-858-2705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANISLO",
        "first_name": "BRENNA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-30",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roots, Limited Liability Co.
• Laura Michelle Ross, MD
• Marryssa Russell, LPCC
• David Saldivar, M.D.
• Justine Salganik, OTR
• Peter Thomas Scheffel, MD
• Elizabeth Paige Scheuer, PT, DPT
• Michielle Schlichenmayer, OTR
• Margaret Elizabeth Schlofner, SLP
• Jacquetta May Schmalz, CNA

• Physician Assistant in Fruita, CO
• Providers in Fruita, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.