BREEANNA KNOWLTON
NPI 1073487005
Nurse Practitioner - Pediatrics in Dallas, TX

Q: What is Breeanna Knowlton's NPI number?

The NPI number for Breeanna Knowlton is 1073487005. It was assigned to this individual provider in the NPPES registry on October 2, 2025.

Q: What is Breeanna Knowlton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Breeanna Knowlton was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since October 02, 2025PECOS Enrolled

5200 HARRY HINES BLVD, DALLAS, TX 75235(214) 590-8000 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Breeanna Knowlton NPPES

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

BREEANNA KNOWLTON (NPI 1073487005) is an individual pediatrics provider in Dallas, Texas, licensed in Texas (1022998) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1073487005

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameBREEANNA KNOWLTON

Location Address5200 HARRY HINES BLVDDallas, TX 75235-7709

Mailing Address3601 Copper Ridge DrMckinney, TX 75070-6833

Phone(214) 590-8000

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateOctober 2, 2025

Last NPPES UpdateFebruary 4, 2026

NPPES CertifiedFebruary 4, 2026

✔ NPI 1073487005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in TX · 1022998

5200 HARRY HINES BLVD, Dallas, TX 75235

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Breeanna Knowlton is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6103307301

PECOS Enrollment IDI20260225003463

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75235 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

$88.19 typical visit price

range $57.18 – $172.86

Typical copayment $22.04 (range $14.29 – $43.21)

Most-billed visit code 99203

Established Patient

$100.80 typical visit price

range $18.48 – $141.20

Typical copayment $25.20 (range $4.62 – $35.30)

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.

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