Individual provider Active NPI

Breanne M Zampetti, PA-C

  • Physician Assistant
  • Wilkes-Barre, PA
National Provider Identifier
1396934352
Registry record updated Jul 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA053175 Issued in PA
Practice address
175 South Wilkes-Barre Blvd.
Wilkes-Barre, PA 18702-3838
Phone
(570) 829-2621
NPI assigned
Oct 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA053175 PA
Physician Assistant 363A00000X MA053175 PA Primary

Addresses

Primary practice location

175 South Wilkes-Barre Blvd.
Wilkes-Barre, PA 18702-3838

Mailing address

100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144

Other practice location 1

181 S Market St
Nanticoke, PA 18634-2305
Phone (570) 735-6660

Other practice location 2

181 S Market St
Nanticoke, PA 18634-2305
Phone (570) 735-6660

Other names 1

  • Breanne M Murgallis Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bzampetti84903@direct.geisinger.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20080124000228 PA Practitioner - Physician Assistant 5193807519 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caring Community Health CenterGroup PAC ID 5698004588, 46 clinicians
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

175 S Wilkes Barre Blvd
Wilkes Barre, PA 18702-5040
Phone (570) 829-2621

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

426 Airport Rd
Suite 125
Hazle Township, PA 18202-3361
Phone (570) 829-2621

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA053175PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger-HM Joint Venture, LLC Physician Assistant CurrentSince Mar 22, 2021 Accepting new patients
Caring Community Health Center CurrentSince Nov 12, 2019 Accepting new patients
Geisinger Clinic CurrentSince Dec 4, 2017 Accepting new patients
Geisinger-HM Joint Venture, LLC CurrentSince Mar 22, 2021 Accepting new patients
Geisinger Clinic CurrentSince Dec 4, 2017 Accepting new patients
Caring Community Health Center CurrentSince Nov 12, 2019 Accepting new patients
Mercy Med Care Inc. Past Accepting new patients
Geisinger Clinic Past Accepting new patients

Locations

226 Buckaroo Ln
Bellefonte, PA 16823
Phone (814) 353-1030

174 Buckaroo Ln
Bellefonte, PA 16823
Phone (814) 353-1030

425 E 1st St
Bloomsburg, PA 17815
Phone (570) 387-2474

224 N Logan Blvd
Burnham, PA 17009
Phone (717) 242-0196

114 Lt Michael Cleary Dr
Dallas, PA 18612
Phone (570) 255-1178

175 Northumberland St
Danville, PA 17821
Phone (570) 284-4575

100 N Academy Ave
Danville, PA 17822

426 Airport Rd
Ste 125
Hazle Township, PA 18202
Phone (570) 829-2621

426 Airport Rd
Hazle Township, PA 18202
Phone (570) 453-0172

499 Wyoming Ave
Kingston, PA 18704
Phone (570) 283-2161

560 Pierce St
Kingston, PA 18704
Phone (570) 283-2161

68 Spring St
Lock Haven, PA 17745
Phone (570) 263-5830

10 Choate Cir
Montoursville, PA 17754
Phone (570) 368-5566

42 N Main St
Pittston, PA 18640
Phone (570) 602-5610

3 W Olive St
Scranton, PA 18508
Phone (570) 207-4054

157 Roosevelt Ave
Selinsgrove, PA 17870
Phone (570) 884-3726

1020 Northern Blvd
South Abington Township, PA 18411
Phone (570) 587-2290

631 Northern Blvd
South Abington Township, PA 18411
Phone (570) 340-6920

1630 N Atherton St
State College, PA 16803
Phone (814) 238-1279

809 Hunter Hwy
Tunkhannock, PA 18657
Phone (570) 966-2700

10 Trieble Dr
Tunkhannock, PA 18657
Phone (570) 836-2273

175 S Wilkes Barre Blvd
Wilkes Barre, PA 18702
Phone (570) 821-0808

35 S Mountain Blvd
Wilkes Barre, PA 18707
Phone (570) 474-5072

25 Church St
Wilkes Barre, PA 18702
Phone (570) 340-5800

1824 E 3rd St
Williamsport, PA 17701
Phone (570) 322-4422

Interoperability endpoints

  • Direct secure messaging: bzampetti84903@direct.geisinger.edu

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1396934352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178224903",
            "telephone_number": "570-271-6144",
            "fax_number": "570-271-6578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 SOUTH WILKES-BARRE BLVD.",
            "city": "WILKES-BARRE",
            "state": "PA",
            "postal_code": "187023838",
            "telephone_number": "570-829-2621"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "181 S Market St",
            "address_purpose": "LOCATION",
            "city": "Nanticoke",
            "state": "PA",
            "postal_code": "186342305",
            "country_code": "US",
            "telephone_number": "570-735-6660",
            "fax_number": "570-735-6696",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "181 S Market St",
            "address_purpose": "LOCATION",
            "city": "Nanticoke",
            "state": "PA",
            "postal_code": "186342305",
            "country_code": "US",
            "telephone_number": "570-735-6660",
            "fax_number": "570-735-6696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAMPETTI",
        "first_name": "BREANNE",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-16",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA053175",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA053175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bzampetti84903@direct.geisinger.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "175 South Wilkes-Barre Blvd.",
            "city": "Wilkes-Barre",
            "state": "PA",
            "country_code": "US",
            "postal_code": "187023838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BREANNE",
            "last_name": "MURGALLIS",
            "middle_name": "M",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wilkes-Barre, PA

Sources for this page

Verify at the official NPI Registry.