Brianna Latisnere-Blosser
NPI 1053143164 · Physician Assistant · Goshen, IN
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Brianna Latisnere-Blosser is a Physician Assistant provider in Goshen, IN (NPI 1053143164).
Provider details
- NPI number
- 1053143164
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 10004633A (IN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 200 High Park AveGoshen, IN 46526-4810Phone: (574) 364-1000
Registry dates
- Enumerated
- 2024-08-16
- Last updated
- 2024-11-07
- Certified
- 2024-11-07
Frequently asked questions
- What is Brianna Latisnere-Blosser's NPI number?
- Brianna Latisnere-Blosser's National Provider Identifier (NPI) is 1053143164, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Brianna Latisnere-Blosser's specialty?
- Brianna Latisnere-Blosser is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Brianna Latisnere-Blosser located?
- Brianna Latisnere-Blosser's practice location on file with NPPES is 2006 S Main St Ste a, Goshen, IN 46526-5232.
- What is Brianna Latisnere-Blosser's phone number?
- The practice phone number listed in the NPPES registry for Brianna Latisnere-Blosser is (574) 535-9100.
- Does Brianna Latisnere-Blosser accept Medicare?
- Brianna Latisnere-Blosser is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Brianna Latisnere-Blosser's NPI active?
- Yes — Brianna Latisnere-Blosser's NPI (1053143164) is active in the NPPES registry as of the last update on 2024-11-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.