Brianna Rahn, PA-C

Individual provider Active NPI Medical Physician Assistant · Calumet, MI

NPI 1316708282 · NPPES record last updated May 14, 2026

Key facts

NPI
1316708282
Entity type
Individual (NPI type 1)
Primary specialty
Medical Physician Assistant 363AM0700X
License
5601012230 (MI)
Practice address
56720 Calumet Ave
Calumet, MI 49913-1904
Phone
(906) 483-1177
NPI assigned
Jan 18, 2024
Sex
Female
Sole proprietor
No

Organizations & group practices 13

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 4

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

Medicare Care Compare profile

Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upper Great Lakes Family Health Center (41 clinicians)

Practice addresses (Care Compare)

56720 Calumet Ave
Calumet, MI 49913-1967
Phone (906) 483-1177

Hospital & facility affiliations

  • Up Health System Portage Hospital · Hancock, MI · CCN 230108
  • Aspirus Keweenaw Hospital and Clinics Hospital · Laurium, MI · CCN 231319

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MI
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
I20240307002368 MI Practitioner - Physician Assistant 1850737248 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601012230MIMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Upper Great Lakes Family Health Center Current
since Mar 1, 2024
Accepting new patients
Upper Great Lakes Family Health Center Current
since Mar 1, 2024
Accepting new patients
Upper Great Lakes Family Health Center Past Accepting new patients
Upper Great Lakes Family Health Center Past Accepting new patients

Locations

301 Explorer St
Gwinn, MI 49841
Phone (906) 346-4924

135 E State Highway M35
Gwinn, MI 49841
Phone (906) 346-9275

56720 Calumet Ave
Laurium, MI 49913
Phone (906) 481-8952

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 5601012230 MI Yes

Addresses

Primary practice location

56720 Calumet Ave
Calumet, MI 49913-1904

Mailing address

135 E M35
Gwinn, MI 49841-9160
Phone (906) 483-1177

Other names

  • Brianna Wisti Former name

Other providers in Calumet, MI

All providers in Calumet, MI · Medical Physician Assistant in Michigan

Sources for this page

Verify at the official NPI Registry.