Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mikaela Brutico, PA-C

Individual provider Physician Assistant · NPI 1245014620

Mikaela Brutico, PA-C is a Physician Assistant in Scranton, Pennsylvania. Qualified in 2023, 3 years ago. Practices with Geisinger Clinic, a 3,413-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
3
Licensed in
PA
In the registry since
2023
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3 W Olive St
Scranton, PA 18508-2572
Phone: (570) 207-4054
Fax: (570) 207-4057
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 746 Jefferson Ave, Scranton, PA 18510-1624 — (570) 770-3000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA064835 (PA)

Record details

NPI number1245014620
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 24, 2023
Last updated in NPPESMay 8, 2025
Certification dateMay 8, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Geisinger Clinic — 3413 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

Other providers in Scranton