Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BRYHANNA CHRISTINECHARLES MCCULLY PAC
NPI 1154919561
Physician Assistant in Gresham, OR

Active since January 02, 2021PECOS EnrolledAccepts Medicare Assignment
2850 SE POWELL VALLEY RD, GRESHAM, OR 97080(503) 666-5050 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 2, 2026, Jul 11, 2022, Feb 1, 2022 and 2 more (5 updates tracked since 2021).

About Bryhanna Christinecharles Mccully Pac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRYHANNA CHRISTINECHARLES MCCULLY PAC (NPI 1154919561) is an individual physician assistant in Gresham, Oregon, licensed in Oregon (PA209821) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS, is affiliated with Legacy Good Samaritan Medical Center, and maintains 19 additional practice locations.

NPPES Registry Identity

NPI1154919561
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameBRYHANNA CHRISTINECHARLES MCCULLYCredential: PAC
Location Address2850 SE POWELL VALLEY RDGresham, OR 97080-1494
Mailing AddressPo Box 3777Portland, OR 97208-3777 · (503) 413-3900 · Fax (503) 413-3710
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 2, 2021
Last NPPES UpdateJune 17, 20265 updates tracked since enumeration
NPPES CertifiedJune 17, 2026
NPI 1154919561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in OR · PA209821 Licensed in IL · 085008846
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License PA209821 (OR)
2850 SE POWELL VALLEY RD, Gresham, OR 97080

Secondary Practice Locations 19

Location 111815 233rd StCambria Heights, NY 11411-2227 · Phone (347) 610-5316
Location 21333 W Belmont Ave Ste 100Chicago, IL 60657-5785 · Phone (312) 694-2273 · Fax (312) 694-1875
Location 3636 Raymond Dr Ste 107Naperville, IL 60563-9789 · Phone (630) 359-8396 · Fax (630) 933-2729
Location 410350 Haligus Rd Ste AHuntley, IL 60142-9545 · Phone (847) 802-7500 · Fax (847) 802-7162
Location 5885 Roosevelt Rd Ste 100Glen Ellyn, IL 60137-6141 · Phone (630) 384-6200 · Fax (630) 384-6229
Location 6870 N Milwaukee AveVernon Hills, IL 60061-1521 · Phone (847) 475-2273 · Fax (847) 535-7761
Location 72900 Foxfield Rd Ste 100St Charles, IL 60174-5799 · Phone (630) 377-6500 · Fax (630) 377-6577
Location 8635 N Dearborn St Ste 100Chicago, IL 60654-4618 · Phone (312) 694-2273 · Fax (312) 694-2129
Location 9635 N Fairbanks CtChicago, IL 60611-5435 · Phone (312) 472-3173 · Fax (312) 472-3176
Location 1021202 Owens Rd Ste 101Mokena, IL 60448-2038 · Phone (779) 334-0030 · Fax (779) 334-0031
Location 111630 Sherman Ave Ste 130Evanston, IL 60201-3711 · Phone (312) 694-9521 · Fax (312) 694-2299
Location 12525 Rockland Rd Ste 100Lake Bluff, IL 60044-1778 · Phone (847) 535-6460 · Fax (847) 535-6465
Location 131111 NE 99th Ave Ste 101Portland, OR 97220-9442 · Phone (503) 488-2626 · Fax (503) 488-2630
Location 142701 Patriot Blvd Ste 110Glenview, IL 60026-8039 · Phone (847) 475-2273 · Fax (847) 998-9833
Location 152507 N Richmond Rd Ste BMcHenry, IL 60051-5407 · Phone (815) 206-7500 · Fax (815) 385-3255
Location 161704 Maple Ave Ste 100Evanston, IL 60201-3134 · Phone (312) 694-2273 · Fax (312) 694-2299
Location 176155 Grand Ave Ste 100Gurnee, IL 60031-1651 · Phone (224) 271-6700 · Fax (224) 271-6701
Location 187 Blanchard Cir Ste 102Wheaton, IL 60189-2038 · Phone (630) 682-0500 · Fax (630) 682-1078
Location 1924076 SE Stark St Ste 230Gresham, OR 97030-3385 · Phone (503) 488-2600 · Fax (503) 465-5468

Other Identifiers 2

Medicaid500807348OR
Medicaid2209836WA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Bryhanna Christinecharles Mccully Pac is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385037332
PECOS Enrollment IDI20220707003268
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Detection test by nucleic acid for organism, amplified probe technique 87798
A nucleic acid detection test is a procedure to identify specific organisms in your body. This test uses an amplified probe technique, which magnifies the genetic material of the organism, making it easier to detect. It's a precise way to diagnose infections.
283 services37 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
77 services59 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
51 services51 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
24 services22 patients
Detection test by nucleic acid for chlamydia pneumoniae, amplified probe technique 87486
This test checks for the presence of Chlamydia pneumoniae, a bacterium that can cause respiratory infections. It uses an amplified probe technique, which magnifies the bacterium's genetic material for easier detection. It's a standard, non-invasive procedure.
24 services23 patients
Detection test by nucleic acid for legionella pneumophila (water borne bacteria), amplified probe technique 87541
A detection test for Legionella Pneumophila, a waterborne bacteria, uses the amplified probe technique. This involves identifying the bacteria's unique genetic material (nucleic acid) and amplifying it for easier detection, aiding in accurate diagnosis.
24 services23 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Legacy Good Samaritan Medical Center

Acute Care Hospitals · Portland, OR
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380017
Location1015 NW 22nd Avenue, W121Portland, OR 97210 · Multnomah County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97080 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

General Practice
2850 SE POWELL VALLEY RD
GRESHAM, OR 97080
Nurse Practitioner
2850 SE POWELL VALLEY RD
GRESHAM, OR 97080
Physician Assistant
2850 SE POWELL VALLEY RD
GRESHAM, OR 97080
Physician Assistant
2850 SE POWELL VALLEY RD
GRESHAM, OR 97080
Preventive Medicine (Public Health & General Preventive Medicine)
2850 SE POWELL VALLEY RD, SUITE 205
GRESHAM, OR 97080
Physician Assistant
2850 SE POWELL VALLEY RD
GRESHAM, OR 97080
Physician Assistant
2850 SE POWELL VALLEY RD
GRESHAM, OR 97080
Physician Assistant
2850 SE POWELL VALLEY RD
GRESHAM, OR 97080

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bryhanna Mccully's NPI number?

The NPI number for Bryhanna Mccully is 1154919561. It was assigned to this individual provider in the NPPES registry on January 2, 2021.

Where is Bryhanna Mccully located?

Bryhanna Mccully practices at 2850 SE Powell Valley Rd, Gresham, OR 97080. The listed phone number is (503) 666-5050.

What is Bryhanna Mccully's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Bryhanna Mccully enrolled in Medicare?

Yes. Bryhanna Mccully is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Bryhanna Mccully accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Bryhanna Mccully as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Bryhanna Mccully affiliated with any hospitals?

According to CMS data, Bryhanna Mccully is affiliated with Legacy Good Samaritan Medical Center.

When was this NPI record last updated?

The NPPES record for Bryhanna Mccully was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 56 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.