Individual provider Active NPI

Brianna Rahn, PA-C

  • Medical Physician Assistant
  • Calumet, MI
National Provider Identifier
1316708282
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5601012230 Issued in MI
Practice address
56720 Calumet Ave
Calumet, MI 49913-1904
Phone
(906) 483-1177
NPI assigned
Jan 18, 2024
Last updated
May 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Specialties & licenses 1

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

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 1

  • Brianna Wisti Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20240307002368 MI Practitioner - Physician Assistant 1850737248 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

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

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Upper Great Lakes Family Health Center CurrentSince 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

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

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

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1705536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1316708282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 E M35",
            "city": "GWINN",
            "state": "MI",
            "postal_code": "498419160",
            "telephone_number": "906-483-1177",
            "fax_number": "906-372-3230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56720 CALUMET AVE",
            "city": "CALUMET",
            "state": "MI",
            "postal_code": "499131904",
            "telephone_number": "906-483-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHN",
        "first_name": "BRIANNA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-18",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601012230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIANNA",
            "last_name": "WISTI",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Calumet, MI

Sources for this page

Verify at the official NPI Registry.