BRYHANNA CHRISTINECHARLES MCCULLY PAC
NPI 1154919561
Physician Assistant - Surgical in Portland, OR

NPI Status: Active since January 02, 2021

Contact Information

1111 NE 99TH AVE STE 101
PORTLAND, OR
ZIP 97220
Phone: (503) 488-2626
Fax: (503) 488-2630

Get Directions Write a Review

  • Individual
  • Female
  • Years of Experience 5
  • Physician Assistant
  • Surgical
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About BRYHANNA MCCULLY

This page provides the complete NPI Profile along with additional information for Bryhanna Mccully, a provider established in Portland, Oregon with a medical specialization in Physician Assistant, focusing in surgical and more than 5 years of experience. The healthcare provider is registered in the NPI registry with number 1154919561 assigned on January 2021. The practitioner's primary taxonomy code is 363AS0400X with license number PA209821 (OR). The provider is registered as an individual and her NPI record was last updated March 2026.

NPI
1154919561
Provider Name
BRYHANNA CHRISTINECHARLES MCCULLY PAC
Gender
Female
Entity Type
Individual
Location Address
1111 NE 99TH AVE STE 101 PORTLAND, OR 97220
Location Phone
(503) 488-2626
Location Fax
(503) 488-2630
Mailing Address
847 NE 19TH AVE STE 300 PORTLAND, OR 97232
Mailing Phone
(503) 963-2801
Mailing Fax
(503) 488-2630
Medical School Name
OTHER
Graduation Year
2021
Is Sole Proprietor?
No
Enumeration Date
01-02-2021
Last Update Date
03-02-2026
Code Navigator

Location Map

Secondary Locations

  • 10350 Haligus Rd Ste A
    Huntley, IL 60142
    (847) 802-7500
  • 885 Roosevelt Rd Ste 100
    Glen Ellyn, IL 60137
    (630) 384-6200
  • 870 N Milwaukee Ave
    Vernon Hills, IL 60061
    (847) 475-2273
  • 2900 Foxfield Rd Ste 100
    St Charles, IL 60174
    (630) 377-6500
  • 2701 Patriot Blvd Ste 110
    Glenview, IL 60026
    (847) 475-2273
  • 2507 N Richmond Rd Ste B
    McHenry, IL 60051
    (815) 206-7500
  • 1704 Maple Ave Ste 100
    Evanston, IL 60201
    (312) 694-2273
  • 6155 Grand Ave Ste 100
    Gurnee, IL 60031
    (224) 271-6700
  • 7 Blanchard Cir Ste 102
    Wheaton, IL 60189
    (630) 682-0500
  • 635 N Dearborn St Ste 100
    Chicago, IL 60654
    (312) 694-2273
  • 635 N Fairbanks Ct
    Chicago, IL 60611
    (312) 472-3173
  • 21202 Owens Rd Ste 101
    Mokena, IL 60448
    (779) 334-0030
  • 1630 Sherman Ave Ste 130
    Evanston, IL 60201
    (312) 694-9521
  • 525 Rockland Rd Ste 100
    Lake Bluff, IL 60044
    (847) 535-6460
  • 24076 SE Stark St Ste 230
    Gresham, OR 97030
    (503) 488-2600
  • 636 Raymond Dr Ste 107
    Naperville, IL 60563
    (630) 359-8396
  • 11815 233rd St
    Cambria Heights, NY 11411
    (347) 610-5316
  • 1333 W Belmont Ave Ste 100
    Chicago, IL 60657
    (312) 694-2273

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Surgical

Taxonomy Code
363AS0400X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
PA209821
License State
OR

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

085008846 (IL)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BridgeSpan Standard Bronze Plan - EPO
  • BridgeSpan Standard Gold Plan - EPO
  • BridgeSpan Standard Silver Plan - EPO
  • Moda Health Affinity Bronze 8000 - EPO
  • Moda Health Affinity Bronze 9000 - EPO
  • Moda Health Affinity Bronze HDHP 7500 - EPO
  • Moda Health Affinity Gold 1000 - EPO
  • Moda Health Affinity Gold 1500 - EPO
  • Moda Health Affinity Gold 250 - EPO
  • Moda Health Affinity Silver 3000 - EPO
  • Moda Health Affinity Silver 3400 - EPO
  • Moda Health Affinity Silver 4500 - EPO
  • Moda Health Affinity Silver 6000 - EPO
  • Moda Health Oregon Standard Bronze Affinity - EPO
  • Moda Health Oregon Standard Gold Affinity - EPO
  • Moda Health Oregon Standard Silver Affinity - EPO
  • Moda Select Alaska Bronze 6500 - PPO
  • Moda Select Alaska Bronze HDHP 5500 - PPO
  • Moda Select Alaska Gold 1500 - PPO
  • Moda Select Alaska Silver 4500 - PPO
  • Moda Select Alaska Standard Bronze - PPO
  • Moda Select Alaska Standard Gold - PPO
  • Moda Select Alaska Standard Silver - PPO
  • Bronze 8000 Individual Connect - EPO
  • Bronze Essential 9000 With 4 Copay No Deductible Office Visits Individual Connect - EPO
  • Bronze HSA 7000 Individual Connect - EPO
  • Gold 2300 Individual Connect - EPO
  • Regence Standard Bronze Plan Individual Connect - EPO
  • Regence Standard Gold Plan Individual Connect - EPO
  • Regence Standard Silver Plan Individual Connect - EPO
  • Silver 6500 Individual Connect - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
500807348MEDICAID (05)OR 
2209836MEDICAID (05)WA 

Medicare Participation & PECOS Enrollment Status

Bryhanna Mccully is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Bryhanna Mccully is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 4385037332

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20220707003268

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 19 times for 19 patients

Established patient office or other outpatient visit, 30-39 minutes

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.

This service was performed 20 times for 20 patients

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Bryhanna Mccully is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
LEGACY GOOD SAMARITAN MEDICAL CENTER1015 NW 22ND AVENUE, W121
PORTLAND, OR 97210
(503) 413-7682Acute Care Hospitals

Reviews for BRYHANNA CHRISTINECHARLES MCCULLY PAC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1154919561, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
4
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
1
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
5
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 9 → 18 → 9 9 → 18 → 9 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 0 + 4 + 1 + 8 + 1 + 1 + 8 + 5 + 1 + 2 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1154919561.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Audiologist
1111 NE 99TH AVE STE 101
PORTLAND, OR 97220

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154919561, enumerated as an "individual" on January 02, 2021.

The provider is located at 1111 NE 99TH AVE STE 101 PORTLAND, OR 97220 and the phone number is (503) 488-2626.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.

The provider might be accepting Accepts: BridgeSpan Health Company, Moda Health Plan, Inc.,. Please consult your insurance carrier or call the provider to verify.

Bryhanna Mccully is affiliated with: LEGACY GOOD SAMARITAN MEDICAL CENTER.