BREANNE LEIGH ST MARTIN FNP-C
NPI 1053938886
Nurse Practitioner - Family in Providence, RI

Active since June 27, 2020PECOS EnrolledAccepts Medicare Assignment
33 STANIFORD ST FL 2, PROVIDENCE, RI 02905(401) 421-8800 Get Directions Write a Review

NPPES record last updated: December 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 23, 2021, Jun 27, 2020 (2 updates tracked since 2020).

About Breanne Leigh St Martin Fnp-c NPPES

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

BREANNE LEIGH ST MARTIN FNP-C (NPI 1053938886) is an individual family provider in Providence, Rhode Island, licensed in Rhode Island (APRN02363) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, is affiliated with Rhode Island Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1053938886
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBREANNE LEIGH ST MARTINCredential: FNP-C
Location Address33 STANIFORD ST FL 2Providence, RI 02905-3105
Mailing Address55 Deacon AveWarwick, RI 02886-5103
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 27, 2020
Last NPPES UpdateDecember 23, 20212 updates tracked since enumeration
NPPES CertifiedDecember 3, 2020
NPI 1053938886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in RI · APRN02363
33 STANIFORD ST FL 2, Providence, RI 02905

Secondary Practice Locations 2

Location 15670 Post RdEast Greenwich, RI 02818-3461 · Phone (401) 234-9080
Location 21407 S County Trl Ste 410East Greenwich, RI 02818-1679 · Phone (401) 421-8800

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Breanne Leigh St Martin Fnp-c 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 ID9133531791
PECOS Enrollment IDI20201223002528
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.

Areas of Expertise CMS Part B claims 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
74 services57 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
26 services25 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Rhode Island Hospital

Acute Care Hospitals · Providence, RI
3/5 CMS rating
OwnershipTribal
CMS Certification Number410007
Location593 Eddy StreetProvidence, RI 02903 · Providence County
Emergency services

The Miriam Hospital

Acute Care Hospitals · Providence, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410012
Location164 Summit AvenueProvidence, RI 02906 · Providence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02905 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
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
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 3

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

Nurse Practitioner (Gerontology)
33 STANIFORD ST FL 2
PROVIDENCE, RI 02905
Physician Assistant
33 STANIFORD ST FL 2
PROVIDENCE, RI 02905
Nurse Practitioner (Family)
33 STANIFORD ST FL 2
PROVIDENCE, RI 02905

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 St Martin's NPI number?

The NPI number for Breanne St Martin is 1053938886. It was assigned to this individual provider in the NPPES registry on June 27, 2020.

Where is Breanne St Martin located?

Breanne St Martin practices at 33 Staniford St Fl 2, Providence, RI 02905. The listed phone number is (401) 421-8800.

What is Breanne St Martin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Breanne St Martin enrolled in Medicare?

Yes. Breanne St Martin 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.

Is Breanne St Martin affiliated with any hospitals?

According to CMS data, Breanne St Martin is affiliated with Rhode Island Hospital and The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Breanne St Martin was last updated on December 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.