Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Brianna Latisnere-Blosser

Individual provider Physician Assistant · NPI 1053143164

Brianna Latisnere-Blosser is a Physician Assistant in Goshen, Indiana. Qualified in 2024, 2 years ago. Practices with Gerig Surgical Associates PC, an 8-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
2
Licensed in
IN
In the registry since
2024
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Practice location Address checks out

2006 S Main St Ste A
Goshen, IN 46526-5232
Phone: (574) 535-9100
Fax: (574) 535-1020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 200 High Park Ave, Goshen, IN 46526-4810 — (574) 364-1000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10004633A (IN)

Record details

NPI number1053143164
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 16, 2024
Last updated in NPPESNovember 7, 2024
Certification dateNovember 7, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Gerig Surgical Associates Pc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Goshen