JOANNA L. BRETON APRN NPI 1063997245
Nurse Practitioner - Family in Hamden, CT

About JOANNA L. BRETON APRN

Joanna Breton is a provider established in Hamden, Connecticut and her medical specialization is Nurse Practitioner with a focus in family with more than 5 years of experience. The NPI number of Joanna Breton is 1063997245 and was assigned on October 2018. The practitioner's primary taxonomy code is 363LF0000X with license number 7875 (CT). The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1063997245
Provider Name JOANNA L. BRETON APRN
Location Address1700 DIXWELL AVE HAMDEN, CT 06514
Location Phone(203) 437-8278
Mailing Address1700 DIXWELL AVE HAMDEN, CT 06514
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2018
Is Sole Proprietor?No
Enumeration Date10-03-2018
Last Update Date10-03-2018

A nurse practitioner (NP) like Joanna L. Breton Aprn is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.Joanna Breton is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Joanna Breton is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The typical physician office visit costs for Medicare beneficiaries in this area are: $24.29 for a new patient copayment and $28.02 for an established patient copayment.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code363LF0000X
ClassificationNurse Practitioner
TypePhysician Assistants & Advanced Practice Nursing Providers
SpecializationFamily
License No.7875
License StateCT

Business Address

JOANNA L. BRETON APRN
1700 DIXWELL AVE
HAMDEN, CT
ZIP 06514
Phone: (203) 437-8278

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Mailing Address

JOANNA L. BRETON APRN
1700 DIXWELL AVE
HAMDEN, CT
ZIP 06514
Phone: (475) 238-7972


Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID2860729258
PECOS Enrollment IDI20190807003500
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 06514 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99203
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$63.47 $190.87 $97.18
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$15.86 $47.71 $24.29
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99214
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$20.08 $156.18 $112.09
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$5.02 $39.04 $28.02

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1063997245
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
201231891428
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 2 + 3 + 1 + 8 + 9 + 1 + 4 + 2 + 8 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1063997245 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
19525481661700 DIXWELL HEALTHCARE GROUP, LLC
Organization
Chiropractor1700 DIXWELL AVE
HAMDEN, CT 06514
(203) 397-2225
1881831923INJURY REHABILITATION CENTER OF HAMDEN LLC
Organization
Chiropractor1700 DIXWELL AVE SUITE A
HAMDEN, CT 06514
(203) 288-7300
1750652285HAMDEN INJURY REHABILITATION CENTER, INC.
Organization
Clinic/Center (Medical Specialty)1700 DIXWELL AVE
HAMDEN, CT 06514
(203) 288-7300
1124563135HAMDEN INJURY CENTER, INC
Organization
Chiropractor (Neurology)1700 DIXWELL AVE
HAMDEN, CT 06514
(203) 288-7300
1245748938WAVE INTEGRATIVE CT LLC
Organization
Internal Medicine1700 DIXWELL AVE SUITE 203 URGENT CARE
HAMDEN, CT 06514
(844) 468-5963
1003018292MR. MICHAEL ROBERT BARONE JR. DC
Individual
Chiropractor (Neurology)1700 DIXWELL AVE
HAMDEN, CT 06514
(203) 288-7300
1225661929 JILLIAN PORTO
Individual
Nurse Practitioner (Family)1700 DIXWELL AVE
HAMDEN, CT 06514
(475) 238-7972
1730833062HOLISTIC BEHAVIORAL HEALTH WELLNESS CENTER INC
Organization
Clinic/Center (Multi-Specialty)1700 DIXWELL AVE
HAMDEN, CT 06514
(203) 604-9009

Frequently Asked Questions

What is Joanna Breton APRN NPI number?

The NPI number assigned to Joanna Breton APRN is 1063997245, registered as an "individual" on October 03, 2018

Where is Joanna Breton APRN located?

The provider is located at 1700 Dixwell Ave Hamden, Ct 06514 and the phone number is (203) 437-8278

Which is Joanna Breton APRN specialty?

The provider's speciality is Nurse Practitioner with a focus in Family

How many years of experience does Joanna Breton APRN have?

The provider has more than 5 years of experience.

Is Joanna Breton APRN registered in PECOS?

Yes, as of November 14, 2022 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

How much is a visit to Joanna Breton APRN?

Medicare beneficiaries should expect a typical cost of $97.18 with an average copayment of $24.29 for new patient appointments. Established patients should expect a typical charge of $112.09 and an average copayment of 28.02. Please review your insurance plan or contact the provider directly to determine your specific costs.

How do I update my NPI information?

The NPI record of Joanna Breton APRN was last updated on October 03, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]