MIKAELA BRUTICO PA-C
NPI 1245014620
Physician Assistant in Scranton, PA

Active since August 24, 2023PECOS EnrolledAccepts Medicare Assignment
3 W OLIVE ST, SCRANTON, PA 18508(570) 207-4054(570) 207-4057 Get Directions Write a Review

NPPES record last updated: May 8, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 8, 2025, Aug 24, 2023 (2 updates tracked since 2023).

About Mikaela Brutico Pa-c NPPES

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

MIKAELA BRUTICO PA-C (NPI 1245014620) is an individual physician assistant in Scranton, Pennsylvania, licensed in Pennsylvania (MA064835) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS, is affiliated with Regional Hospital Of Scranton, and maintains a secondary practice location in Scranton.

NPPES Registry Identity

NPI1245014620
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMIKAELA BRUTICOCredential: PA-C
Location Address3 W OLIVE STScranton, PA 18508-2572
Mailing Address100 N Academy AveDanville, PA 17822-4903 · (570) 207-4054 · Fax (570) 201-4057
Fax(570) 207-4057
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 24, 2023
Last NPPES UpdateMay 8, 20252 updates tracked since enumeration
NPPES CertifiedMay 8, 2025
NPI 1245014620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in PA · MA064835
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.

3 W OLIVE ST, Scranton, PA 18508

Secondary Practice Location 1

Location 1746 Jefferson AveScranton, PA 18510-1624 · Phone (570) 770-3000

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

Mikaela Brutico Pa-c 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 ID5991159352
PECOS Enrollment IDI20231004000484
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 3

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
114 services113 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
107 services106 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Regional Hospital Of Scranton

Acute Care Hospitals · Scranton, PA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number390237
Location746 Jefferson AvenueScranton, PA 18501 · Lackawanna County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18508 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

Podiatrist (Foot & Ankle Surgery)
3 W OLIVE ST
SCRANTON, PA 18508
Surgery (Vascular Surgery)
3 W OLIVE ST
SCRANTON, PA 18508
Nurse Practitioner
3 W OLIVE ST
SCRANTON, PA 18508
Physical Therapist
3 W OLIVE ST, SUITE 118
SCRANTON, PA 18508
Nurse Practitioner
3 W OLIVE ST
SCRANTON, PA 18508
Pharmacist
3 W OLIVE ST
SCRANTON, PA 18508
Audiologist
3 W OLIVE ST, SUITE 106
SCRANTON, PA 18508
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3 W OLIVE ST
SCRANTON, PA 18508

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 Mikaela Brutico's NPI number?

The NPI number for Mikaela Brutico is 1245014620. It was assigned to this individual provider in the NPPES registry on August 24, 2023.

Where is Mikaela Brutico located?

Mikaela Brutico practices at 3 W Olive St, Scranton, PA 18508. The listed phone number is (570) 207-4054.

What is Mikaela Brutico's specialty?

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

Is Mikaela Brutico enrolled in Medicare?

Yes. Mikaela Brutico 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.

Is Mikaela Brutico affiliated with any hospitals?

According to CMS data, Mikaela Brutico is affiliated with Regional Hospital Of Scranton.

When was this NPI record last updated?

The NPPES record for Mikaela Brutico was last updated on May 8, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.