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

BRIANNA M CLARK PA-C
NPI 1518700764
Physician Assistant - Surgical in Canonsburg, PA

Active since June 17, 2024PECOS Enrolled
138 GALLERY DR, CANONSBURG, PA 15317(724) 260-7300 Get Directions Write a Review

NPPES record last updated: September 23, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 23, 2026, Oct 2, 2024, Jun 17, 2024 (3 updates tracked since 2024).

About Brianna M Clark Pa-c NPPES

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

BRIANNA M CLARK PA-C (NPI 1518700764) is an individual surgical provider in Canonsburg, Pennsylvania, licensed in Pennsylvania (MA065551) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS, is affiliated with Upmc Passavant, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1518700764
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameBRIANNA M CLARKCredential: PA-C
Location Address138 GALLERY DRCanonsburg, PA 15317-2690
Mailing Address138 Gallery DrCanonsburg, PA 15317-2690 · (724) 260-7300
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJune 17, 2024
Last NPPES UpdateSeptember 23, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2026
✔ NPI 1518700764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in PA · MA065551
138 GALLERY DR, Canonsburg, PA 15317

Other Identifiers 1

Other16916047Caqh

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

Brianna M Clark 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 ID6709322621
PECOS Enrollment IDI20240726001602
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.

Hospital Affiliations CMS Care Compare

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

Upmc Passavant

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390107
Location9100 Babcock BoulevardPittsburgh, PA 15237 · Allegheny County
Emergency services

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.

Surgery
138 GALLERY DR
MC MURRAY, PA 15317
Speech-Language Pathologist
138 GALLERY DR
MC MURRAY, PA 15317
Speech-Language Pathologist
138 GALLERY DR
MC MURRAY, PA 15317
Physician Assistant (Surgical)
138 GALLERY DR
MC MURRAY, PA 15317

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 Brianna Clark's NPI number?

The NPI number for Brianna Clark is 1518700764. It was assigned to this individual provider in the NPPES registry on June 17, 2024.

Where is Brianna Clark located?

Brianna Clark practices at 138 Gallery Dr, Canonsburg, PA 15317. The listed phone number is (724) 260-7300.

What is Brianna Clark's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Brianna Clark enrolled in Medicare?

Yes. Brianna Clark 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 Brianna Clark affiliated with any hospitals?

According to CMS data, Brianna Clark is affiliated with Upmc Passavant.

When was this NPI record last updated?

The NPPES record for Brianna Clark was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 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.