NPIMap

Individual provider Active NPI

Bryanne Irene Salmonsen, PA

  • Medical Physician Assistant
  • Bristol, VT
National Provider Identifier
1477142008
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
055.0031696 Issued in VT
Practice address
61 Pine St Ste 400
Bristol, VT 05443-1043
Phone
(802) 453-3911
NPI assigned
Jan 18, 2021
Last updated
Mar 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2411 NV
Medical Physician Assistant 363AM0700X 055.0031696 VT Primary

Addresses

Primary practice location

61 Pine St Ste 400
Bristol, VT 05443-1043

Mailing address

61 Pine St Ste 400
Bristol, VT 05443-1043
Phone (802) 453-3911

Other practice location 1

455 W 5th St
Reno, NV 89503-4413
Phone (775) 688-5555

Other practice location 2

623 Thoma St
Reno, NV 89502-0906
Phone (978) 578-5576

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231010003062 VT Practitioner - Physician Assistant 2163838095 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Five-Town Health Alliance, IncGroup PAC ID 9638321342, 10 clinicians

Practice addresses (Care Compare)

61 Pine St
Bristol, VT 05443-1043
Phone (802) 453-6843

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2411NVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Centers of Burlington Inc CurrentSince Sep 18, 2023 Accepting new patients
Community Health Centers of Burlington Inc CurrentSince Sep 18, 2023 Accepting new patients
Five-Town Health Alliance, Inc CurrentSince Jul 6, 2024 Accepting new patients
Porter Hospital, Inc PastSince Mar 30, 2025 Accepting new patients

Locations

61 Pine St
Bristol, VT 05443
Phone (802) 453-3911

61 Pine St
Bldg 4
Bristol, VT 05443
Phone (802) 453-3911

61 Pine St
Ste 400
Bristol, VT 05443
Phone (802) 453-3911

617 Riverside Ave
Burlington, VT 05401
Phone (802) 264-8158

Organizations & group practices 4

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 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1610928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1477142008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 PINE ST STE 400",
            "city": "BRISTOL",
            "state": "VT",
            "postal_code": "054431043",
            "telephone_number": "802-453-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 PINE ST STE 400",
            "city": "BRISTOL",
            "state": "VT",
            "postal_code": "054431043",
            "telephone_number": "802-453-3911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "455 W 5th St",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895034413",
            "country_code": "US",
            "telephone_number": "775-688-5555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "623 Thoma St",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895020906",
            "country_code": "US",
            "telephone_number": "978-578-5576",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALMONSEN",
        "first_name": "BRYANNE",
        "middle_name": "IRENE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-18",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "2411",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VT",
            "license": "055.0031696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, VT

Sources for this page

Verify at the official NPI Registry.