Individual provider Active NPI

Breann Marie Leamer, PA-C

  • Medical Physician Assistant
  • Du Bois, PA
National Provider Identifier
1922355007
Registry record updated Dec 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA055660 Issued in PA
Practice address
145 Hospital Ave
Suite 200
Du Bois, PA 15801-1462
Phone
(814) 375-9200
Fax
(814) 375-9080
NPI assigned
Aug 8, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA055660 PA Primary

Addresses

Primary practice location

145 Hospital Ave
Suite 200
Du Bois, PA 15801-1462

Mailing address

145 Hospital Ave
Suite 200
Du Bois, PA 15801-1462
Phone (814) 375-9200

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
I20121031000184 PA Practitioner - Physician Assistant 0749430627 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dubois Regional Medical CenterGroup PAC ID 5890689715, 424 clinicians

Practice addresses (Care Compare)

145 Hospital Ave
Suite 200
Du Bois, PA 15801-1464
Phone (814) 375-9200

807 Turnpike Ave
Suite 220
Clearfield, PA 16830-1238
Phone (814) 765-1484

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA055660PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dubois Regional Medical Center CurrentSince Oct 23, 2013 Accepting new patients
Dubois Regional Medical Center CurrentSince Oct 23, 2013 Accepting new patients
Dubois Regional Medical Center Past Accepting new patients
Clearfield Hospital Past Accepting new patients

Locations

807 Turnpike Ave
Ste 220
Clearfield, PA 16830
Phone (814) 299-7432

809 Turnpike Ave
Clearfield, PA 16830
Phone (814) 765-5341

100 Hospital Ave
Ofc
Dubois, PA 15801

145 Hospital Ave
Ste 101
Dubois, PA 15801
Phone (814) 375-5305

145 Hospital Ave
Ste 200
Dubois, PA 15801
Phone (814) 375-2273

100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040

Interoperability endpoints

  • Direct secure messaging: bmleamer@1285.direct.myezyaccess.com

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 and National Provider Directory roles.

Hospital & facility affiliations 38

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

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1344384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418860800000",
    "number": "1922355007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 HOSPITAL AVE",
            "address_2": "SUITE 200",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158011462",
            "telephone_number": "814-375-9200",
            "fax_number": "814-375-9080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 HOSPITAL AVE",
            "address_2": "SUITE 200",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158011462",
            "telephone_number": "814-375-9200",
            "fax_number": "814-375-9080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAMER",
        "first_name": "BREANN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-08",
        "last_updated": "2014-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA055660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Du Bois, PA

Sources for this page

Verify at the official NPI Registry.