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: August 16, 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 CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Chanelle Brusseau is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 4

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

Urology
500 W 11TH ST
PANAMA CITY, FL 32401
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 NPPES & CMS

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

What is Chanelle Brusseau's NPI number?

The NPI number for Chanelle Brusseau is 1467291179. It was assigned to this individual provider in the NPPES registry on May 22, 2024.

Where is Chanelle Brusseau located?

Chanelle Brusseau practices at 500 W 11th St, Panama City, FL 32401. The listed phone number is (850) 785-8557.

What is Chanelle Brusseau's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Chanelle Brusseau enrolled in Medicare?

Yes. Chanelle Brusseau is registered in the Medicare PECOS enrollment system.

What insurance does Chanelle Brusseau accept?

Health plans from AvMed and Oscar Health Maintenance Organization of Florida list Chanelle Brusseau 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.

When was this NPI record last updated?

The NPPES record for Chanelle Brusseau was last updated on February 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.