Briana Acosta

Individual provider Active NPI Physician Assistant · Clay City, KY

NPI 1285528679 · NPPES record last updated May 15, 2026

Key facts

NPI
1285528679
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
License
PA3821 (KY)
Practice address
98 River St
Clay City, KY 40312-1314
Phone
(606) 663-7788
Fax
(606) 663-7785
NPI assigned
Jun 9, 2025
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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.

Medicare Care Compare profile

Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Extended Care Specialists, Inc (295 clinicians)
Clay City Pediatrics, PSC (7 clinicians)

Practice addresses (Care Compare)

828 Lane Allen Rd
Suite 219
Lexington, KY 40504-3659
Phone (260) 483-9081

98 River St
Clay City, KY 40312-1314
Phone (606) 663-7788

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20260421002685 KY Practitioner - Physician Assistant 3274009790 Reassigns benefits to 3 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
PA3821KYMDPhysician Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA3821 KY Yes

Addresses

Primary practice location

98 River St
Clay City, KY 40312-1314

Mailing address

98 River St
Clay City, KY 40312-1314
Phone (606) 663-7788

Other providers in Clay City, KY

All providers in Clay City, KY · Physician Assistant in Kentucky

Sources for this page

Verify at the official NPI Registry.