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BREANNE CAROLYN GRAZER NP
NPI 1013560515
Nurse Practitioner in Santa Monica, CA

Active since July 23, 2019PECOS EnrolledAccepts Medicare Assignment
1250 16TH ST, SANTA MONICA, CA 90404(310) 319-4000 Get Directions Write a Review

NPPES record last updated: October 1, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 28, 2020, Sep 6, 2019, Jul 23, 2019 (3 updates tracked since 2019).

About Breanne Carolyn Grazer Np NPPES

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

BREANNE CAROLYN GRAZER NP (NPI 1013560515) is an individual nurse practitioner in Santa Monica, California, licensed in California (95012195) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1013560515
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameBREANNE CAROLYN GRAZERCredential: NP
Location Address1250 16TH STSanta Monica, CA 90404-1249
Mailing Address5767 W Century Blvd, Suite 400Los Angeles, CA 90095-5631 · (310) 301-8707
Phone(310) 319-4000
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 23, 2019
Last NPPES UpdateOctober 1, 20253 updates tracked since enumeration
NPPES CertifiedOctober 1, 2025
✔ NPI 1013560515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95012195
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1250 16TH ST, Santa Monica, CA 90404
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Breanne Carolyn Grazer Np 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 ID6002145216
PECOS Enrollment IDI20190913001618
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Breanne Grazer reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Providence Saint Johns Medical Foundation
0.5 mi
Specialist
2121 SANTA MONICA BLVD
Santa Monica, CA 90404
  • Reassigned Medicare billing, California enrollment
  • 461 clinicians in this Medicare group
NPI 1770093734 (310) 582-7312
The Regents Of The University Of California
3.9 mi
Internal Medicine
200 MEDICAL PLAZA, SUITE 365,530,420,250,120,214
Los Angeles, CA 90095
  • Reassigned Medicare billing, California enrollment
  • 1,766 clinicians in this Medicare group
NPI 1235107566 (310) 794-1276

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90404 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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 20

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

ISABELLA JUSAY NP
Nurse Practitioner
1250 16TH ST
SANTA MONICA, CA 90404
Los Angeles County (424) 259-9450
CHRISTINE PHAM PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1250 16TH ST
SANTA MONICA, CA 90404
Los Angeles County (414) 259-8500
WILLIAM SHYY M.D.
Emergency Medicine
1250 16TH ST
SANTA MONICA, CA 90404
Los Angeles County (310) 794-7700
MAUREEN SALIGUMBA ACNP
Nurse Practitioner (Acute Care)
1250 16TH ST
SANTA MONICA, CA 90404
Los Angeles County (310) 319-4000
KYLE TRAN
Pharmacist
1250 16TH ST
SANTA MONICA, CA 90404
Los Angeles County (310) 825-9111
ERMINA CAVCIC
Nurse Practitioner (Family)
1250 16TH ST
SANTA MONICA, CA 90404
Los Angeles County (424) 259-8262
RACHAEL BOLLINGER
Nurse Practitioner (Acute Care)
1250 16TH ST
SANTA MONICA, CA 90404
Los Angeles County (424) 259-9457
DR. EYONG JOHN LY MD
Hospitalist
1250 16TH ST, SUITE A454
SANTA MONICA, CA 90404
Los Angeles County (310) 319-4698

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 Breanne Grazer's NPI number?

The NPI number for Breanne Grazer is 1013560515. It was assigned to this individual provider in the NPPES registry on July 23, 2019.

Where is Breanne Grazer located?

Breanne Grazer practices at 1250 16th St, Santa Monica, CA 90404. The listed phone number is (310) 319-4000.

What is Breanne Grazer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Breanne Grazer enrolled in Medicare?

Yes. Breanne Grazer 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.

Which organizations bill Medicare for Breanne Grazer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Breanne Grazer reassigns Medicare benefits to 2 organizations: Providence Saint Johns Medical Foundation (Santa Monica, CA) and The Regents Of The University Of California (Los Angeles, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Breanne Grazer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Breanne Grazer was last updated on October 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.