Individual provider Active NPI

Brianna L Maher, PA

  • Physician Assistant
  • Vail, CO
National Provider Identifier
1609004092
Registry record updated Jun 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
181 W Meadow Dr
Vail, CO 81657-5242
Phone
(970) 476-2451
NPI assigned
Jun 24, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

181 W Meadow Dr
Vail, CO 81657-5242

Mailing address

PO Box 40000
Vail, CO 81658-7520
Phone (970) 476-2451

Other names 1

  • Brianna L Hirsch Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address VVMC.DIRECT@direct.vvmc.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20141204002063 CO Practitioner - Physician Assistant 3173679131 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
VVMC Diversified ServicesGroup PAC ID 8628145414, 16 clinicians

Practice addresses (Care Compare)

181 W Meadow Dr
Vail, CO 81657-5242
Phone (970) 476-2451

320 Beard Creek Rd
Suite 100
Edwards, CO 81632-6433
Phone (970) 476-1110

322 Beard Creek Rd
Suite 1300
Edwards, CO 81632-6433
Phone (970) 569-7656

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vail Clinic, Inc. CurrentSince Mar 11, 2020 Accepting new patients
VVMC Diversified Services CurrentSince Oct 22, 2016 Accepting new patients
Vail Clinic Inc CurrentSince Mar 11, 2020 Accepting new patients
VVMC Diversified Services CurrentSince Oct 22, 2016 Accepting new patients

Locations

1280 Village Rd
#324C
Beaver Creek, CO 81620
Phone (970) 949-0800

377 Sylvan Lake Rd
Ste 210
Eagle, CO 81631
Phone (970) 328-1650

322 Beard Creek Rd
Ste 1300
Edwards, CO 81632
Phone (970) 479-7251

181 W Meadow Dr
Ste 100
Vail, CO 81657
Phone (970) 479-5036

181 W Meadow Dr
Vail, CO 81657
Phone (970) 476-1225

Interoperability endpoints

  • Direct secure messaging: vvmc.direct@direct.vvmc.com

Organizations & group practices 6

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 5

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": "1245801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1609004092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40000",
            "city": "VAIL",
            "state": "CO",
            "postal_code": "816587520",
            "telephone_number": "970-476-2451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 W MEADOW DR",
            "city": "VAIL",
            "state": "CO",
            "postal_code": "816575242",
            "telephone_number": "970-476-2451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHER",
        "first_name": "BRIANNA",
        "middle_name": "L",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-24",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "VVMC.DIRECT@direct.vvmc.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "181 W Meadow Dr",
            "city": "Vail",
            "state": "CO",
            "country_code": "US",
            "postal_code": "816575242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BRIANNA",
            "last_name": "HIRSCH",
            "middle_name": "L",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Vail, CO

Sources for this page

Verify at the official NPI Registry.