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BRIANNE ALBAUGH RN
NPI 1871273706
Nurse Practitioner - Family in Sinking Spring, PA

Active since July 25, 2023PECOS EnrolledAccepts Medicare Assignment
4860 PENN AVE, SINKING SPRING, PA 19608(484) 659-1520 Get Directions Write a Review

NPPES record last updated: August 9, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 9, 2023, Jul 25, 2023 (2 updates tracked since 2023).

About Brianne Albaugh Rn NPPES

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

BRIANNE ALBAUGH RN (NPI 1871273706) is an individual family provider in Sinking Spring, Pennsylvania, licensed in Pennsylvania (SP028007) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS, is affiliated with Reading Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1871273706
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBRIANNE ALBAUGHCredential: RN
Location Address4860 PENN AVESinking Spring, PA 19608-8601
Mailing AddressPo Box 13579Reading, PA 19612-3579 · (484) 628-1324
Phone(484) 659-1520
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 25, 2023
Last NPPES UpdateAugust 9, 20232 updates tracked since enumeration
NPPES CertifiedAugust 9, 2023
✔ NPI 1871273706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in PA · SP028007
Also ListedRegistered Nurse · General PracticeTaxonomy 163WG0000X · License RN707607 (PA)
4860 PENN AVE, Sinking Spring, PA 19608
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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

Brianne Albaugh Rn 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 ID2567817323
PECOS Enrollment IDI20231013001418
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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
38 services38 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
31 services30 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
20 services20 patients

Hospital Affiliations CMS Care Compare

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

Reading Hospital

Acute Care Hospitals · West Reading, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390044
Location420 S 5th AvenueWest Reading, PA 19611 · Berks County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19608 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
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
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 4

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

KATELYN ANDERSON PAC
Physician Assistant
4860 PENN AVE
SINKING SPRING, PA 19608
Berks County (484) 659-1520
RITE MEDICAL CARE PC
Clinic/Center
4860 PENN AVE
SINKING SPRING, PA 19608
Berks County (718) 534-0689
STEPHEN T RAUSCH
Nurse Practitioner (Family)
4860 PENN AVE
SINKING SPRING, PA 19608
Berks County (484) 659-1520
JESSICA MCKENTLY
Nurse Practitioner
4860 PENN AVE
SINKING SPRING, PA 19608
Berks County (484) 659-1520

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 Brianne Albaugh's NPI number?

The NPI number for Brianne Albaugh is 1871273706. It was assigned to this individual provider in the NPPES registry on July 25, 2023.

Where is Brianne Albaugh located?

Brianne Albaugh practices at 4860 Penn Ave, Sinking Spring, PA 19608. The listed phone number is (484) 659-1520.

What is Brianne Albaugh's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Brianne Albaugh enrolled in Medicare?

Yes. Brianne Albaugh 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 Brianne Albaugh affiliated with any hospitals?

According to CMS data, Brianne Albaugh is affiliated with Reading Hospital.

When was this NPI record last updated?

The NPPES record for Brianne Albaugh was last updated on August 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.