CHARLENE BREAUX PMHNP
NPI 1023728573
Nurse Practitioner - Psychiatric/Mental Health in Roseburg, OR
About Charlene Breaux Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHARLENE BREAUX PMHNP (NPI 1023728573) is an individual psychiatric/mental health provider in Roseburg, Oregon, licensed in Oregon (10022152) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS, is affiliated with Mercy Medical Center, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
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
Charlene Breaux Pmhnp 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.
Medicare Billing Reassignment
Medicare enrollment records show Charlene Breaux reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Roseburg, OR 97471
- Reassigned Medicare billing, Oregon enrollment
- 61 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mercy Medical Center
Acute Care Hospitals · Roseburg, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97471 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
ROSEBURG, OR 97471
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 Charlene Breaux's NPI number?
The NPI number for Charlene Breaux is 1023728573. It was assigned to this individual provider in the NPPES registry on November 23, 2022. The provider is also known as Charlene Davis Pmhnp.
Where is Charlene Breaux located?
Charlene Breaux practices at 2570 NW Edenbower Blvd Ste 100, Roseburg, OR 97471. The listed phone number is (541) 677-7200.
What is Charlene Breaux's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Charlene Breaux enrolled in Medicare?
Yes. Charlene Breaux 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 organization bills Medicare for Charlene Breaux's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Charlene Breaux reassigns Medicare benefits to Centennial Medical Group East, LLC (Roseburg, OR). The 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 Charlene Breaux's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Charlene Breaux accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Charlene Breaux as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Charlene Breaux affiliated with any hospitals?
According to CMS data, Charlene Breaux is affiliated with Mercy Medical Center.
When was this NPI record last updated?
The NPPES record for Charlene Breaux was last updated on October 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.
# Charlene Breaux, PMHNP · NPI 1023728573
Psychiatric/Mental Health physician in Roseburg, Oregon. Individual provider, active in the CMS NPPES registry since November 23, 2022.
## Identity
- **NPI:** 1023728573 (Entity type: Individual)
- **Enumerated:** November 23, 2022
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 10022152 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 2570 NW EDENBOWER BLVD STE 100, Roseburg, OR 97471-6214
- **Phone:** (541) 677-7200 · **Fax:** (541) 229-3309
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Centennial Medical Group East, LLC (NPI 1134436637, Roseburg, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** October 23, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1023728573) · Data from the CMS NPPES public registry.