Breanna Sirko, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP030162 Issued in PA

Practice address

625 Rustic Lodge Rd Ste B
Indiana, PA 15701-3403

Phone

(724) 463-3720

NPI assigned

Jul 19, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shenggao Han, M.D., LLCGroup PAC ID 5799680310, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Indiana Regional Medical Center Hospital, Indiana, PA, CCN 390173

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Shenggao Han, M.D., LLC

  • Internal Medicine Physician
  • Indiana, PA
  • NPI 1902843170
  Medicare reassignment Care Compare group NPD
• Windber Hospital, Inc.

  dba Windber Medical Center

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

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

• Indiana Regional Medical Center

  • Internal Medicine Physician
  • Blairsville, PA
  • NPI 1104055946

  Hospital

  Care Compare affiliation
• Indiana Regional Medical Center

  • Rural Acute Care Hospital
  • Indiana, PA
  • NPI 1356334510
  Care Compare affiliation
• Indiana Regional Medical Center

  • Rural Acute Care Hospital
  • Indiana, PA
  • NPI 1508047630
  Care Compare affiliation
• Indiana Regional Medical Center

  • Rural Acute Care Hospital
  • Indiana, PA
  • NPI 1659315372
  Care Compare affiliation

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

{
    "created_epoch": "1721347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1487492641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 RUSTIC LODGE RD STE B",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 RUSTIC LODGE RD STE B",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013403",
            "telephone_number": "724-463-3720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIRKO",
        "first_name": "BREANNA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-19",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP030162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Silvis, LMT
• Trisha M Simon, M.S.
• Frank J Simone, MD
• Daniel Simpson
• Bijai Bahadur Singh, MD
• Patricia Rae Sisak Brown, LPC
• Sleppy Chiropractic P.C.
• Matthew H. Sleppy, DC
• Tara Slovinsky, COTA/L, DOR
• Lindsey A Smail, PA-C

• Family Nurse Practitioner in Indiana, PA
• Providers in Indiana, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.