CHANELLE BRUSSEAU
NPI 1467291179
Physician Assistant - Medical in Panama City, FL

Active since May 22, 2024PECOS Enrolled
500 W 11TH ST, PANAMA CITY, FL 32401(850) 785-8557 Get Directions Write a Review

NPPES record last updated: February 20, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 20, 2025, Aug 5, 2024 (2 updates tracked since 2024).

About Chanelle Brusseau NPPES

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

CHANELLE BRUSSEAU (NPI 1467291179) is an individual medical provider in Panama City, Florida, licensed in Florida (9119597) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467291179
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameCHANELLE BRUSSEAU
Location Address500 W 11TH STPanama City, FL 32401-6304
Mailing Address500 W 11th StPanama City, FL 32401-6304 · (850) 785-8557
Sole ProprietorNo
Enumeration DateMay 22, 2024
Last NPPES UpdateFebruary 20, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2025
NPI 1467291179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses Licensed in FL · 9119597 Licensed in CT · 6673
500 W 11TH ST, Panama City, FL 32401

Accepted Insurance

Medicare Participation & PECOS Enrollment Status

Chanelle Brusseau 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

  • 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

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Physician Assistant
500 W 11TH ST
PANAMA CITY, FL 32401
Non-Pharmacy Dispensing Site
500 W 11TH ST
PANAMA CITY, FL 32401
Physician Assistant
500 W 11TH ST
PANAMA CITY, FL 32401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467291179, enumerated as an "individual" on May 22, 2024.

The provider is located at 500 W 11TH ST PANAMA CITY, FL 32401 and the phone number is (850) 785-8557.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

The provider might be accepting Accepts: AvMed and Oscar Health Maintenance Organization of. Please consult your insurance carrier or call the provider to verify.