Brenna Victoria Debellas, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0110010406 Issued in VA

Practice address

28 Blackwell Park LN Ste 302
Warrenton, VA 20186-2687

Phone

(540) 341-1900

NPI assigned

Sep 17, 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 VA

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

Physician Assistant

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Warrenton Dermatology PCGroup PAC ID 3476519166, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Warrenton Dermatology PC

  • Dermatology Physician
  • Warrenton, VA
  • NPI 1396778205
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1726531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1619704392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 BLACKWELL PARK LN STE 302",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201862687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 BLACKWELL PARK LN STE 302",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201862687",
            "telephone_number": "540-341-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBELLAS",
        "first_name": "BRENNA",
        "middle_name": "VICTORIA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-17",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110010406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexa Grace Davis
• Candice N Davis, FNP
• Ronald Lee Davis, PH.D.,BCBA-D
• Darlene M Day, FNP-C
• William Severe Day Jr., LPC
• Deborah Vara LPC PC
• Jennifer Clare Defranco, RN, RLC, IBCLC
• Arianna Delerme, PSY.D
• Kimberly Demarcus, RN
• Rahul Dewan, MD

• Physician Assistant in Warrenton, VA
• Providers in Warrenton, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.