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

Mrs. Brenna Ann Sanislo

Individual provider Physician Assistant · NPI 1245843085

Mrs. Brenna Ann Sanislo is a Physician Assistant in Fruita, Colorado. Qualified in 2022, 4 years ago. Practices with Intermountain Medical Group Grand Junction, LLC, a 299-clinician group and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2020
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Practice location Address checks out

300 W Ottley Ave
Fruita, CO 81521-2118
Phone: (970) 858-2705
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1245843085
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 30, 2020
Last updated in NPPESSeptember 11, 2023
Certification dateSeptember 11, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Intermountain Medical Group Grand Junction, Llc — 299 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Fruita