KELLY ANNE BRUSTMAN
NPI 1841132834
Student in an Organized Health Care Education/Training Program in Danville, PA

Active since April 08, 2026PECOS Enrolled
16 WOODBINE LN, DANVILLE, PA 17821(570) 271-5600 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Anne Brustman NPPES

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

KELLY ANNE BRUSTMAN (NPI 1841132834) is an individual student in an organized health care education/training program in Danville, Pennsylvania and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841132834
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKELLY ANNE BRUSTMAN
Location Address16 WOODBINE LNDanville, PA 17821-8029
Mailing Address16 Woodbine LnDanville, PA 17821-8029
Sole ProprietorNo
Enumeration DateApril 8, 2026
NPPES CertifiedApril 8, 2026
NPI 1841132834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
16 WOODBINE LN, Danville, PA 17821

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kelly Anne Brustman 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 20

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

Specialist/Technologist (Athletic Trainer)
16 WOODBINE LN
DANVILLE, PA 17821
Pediatrics
16 WOODBINE LN
DANVILLE, PA 17821
Physician Assistant
16 WOODBINE LN
DANVILLE, PA 17821
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
16 WOODBINE LN
DANVILLE, PA 17821
Student in an Organized Health Care Education/Training Program
16 WOODBINE LN
DANVILLE, PA 17821
Physician Assistant
16 WOODBINE LN
DANVILLE, PA 17821
Physician Assistant
16 WOODBINE LN
DANVILLE, PA 17821
Dermatology
16 WOODBINE LN
DANVILLE, PA 17821

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 Kelly Brustman's NPI number?

The NPI number for Kelly Brustman is 1841132834. It was assigned to this individual provider in the NPPES registry on April 8, 2026.

Where is Kelly Brustman located?

Kelly Brustman practices at 16 Woodbine Ln, Danville, PA 17821. The listed phone number is (570) 271-5600.

What is Kelly Brustman's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kelly Brustman enrolled in Medicare?

Yes. Kelly Brustman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelly Brustman was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.