BREANNA LEA LIBBY FNP-BC
NPI 1104344134
Nurse Practitioner - Family in Beals, ME

Active since August 30, 2017PECOS EnrolledCLIA 20D2296107 · Waiver

NPPES record last updated: November 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 13, 2023, Mar 17, 2018, Aug 30, 2017 (3 updates tracked since 2017).

About Breanna Lea Libby Fnp-bc NPPES

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

BREANNA LEA LIBBY FNP-BC (NPI 1104344134) is an individual family provider in Beals, Maine, licensed in Maine (CNP171113) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through December 20, 2027, and is affiliated with Down East Community Hospital.

NPPES Registry Identity

NPI1104344134
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBREANNA LEA LIBBYCredential: FNP-BC
Location Address5 LIBBY LANEBeals, ME 04611
Mailing Address298 Main StJonesport, ME 04649-3345 · (207) 598-9648
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 30, 2017
Last NPPES UpdateNovember 13, 20233 updates tracked since enumeration
NPPES CertifiedNovember 13, 2023
NPI 1104344134 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 ME · CNP171113
5 LIBBY LANE, Beals, ME 04611

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Breanna Lea Libby Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8426324278
PECOS Enrollment IDI20171023000303
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 20D2296107

Breanna Libby Fnp-Bc Dba Moosabec Medical · Jonesport, ME
Active · expires Dec 20, 2027
CLIA Number20D2296107
Laboratory TypePractitioner Other
Certificate Effective DateDecember 21, 2025
Certificate Expiration DateDecember 20, 2027
Laboratory DirectorBreanna L. Libby
Laboratory Phone(207) 598-9648
Laboratory LocationBreanna Libby Fnp-Bc Dba Moosabec Medical298 Main St, Jonesport, ME 04649
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Hospital Affiliations CMS Care Compare

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

Down East Community Hospital

Critical Access Hospitals · Machias, ME
OwnershipVoluntary non-profit - Private
CMS Certification Number201311
Location11 Hospital DriveMachias, ME 04654 · Washington County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04611 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
$82.58 typical visit price
range $53.26 – $162.77
Typical copayment $20.64 (range $13.31 – $40.69)
Most-billed visit code 99203
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
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.

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 Breanna Libby's NPI number?

The NPI number for Breanna Libby is 1104344134. It was assigned to this individual provider in the NPPES registry on August 30, 2017.

Where is Breanna Libby located?

Breanna Libby practices at 5 Libby Lane, Beals, ME 04611. The listed phone number is (207) 598-6120.

What is Breanna Libby's specialty?

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

Is Breanna Libby enrolled in Medicare?

Yes. Breanna Libby is registered in the Medicare PECOS enrollment system.

Does Breanna Libby hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 20D2296107) is associated with this NPI, valid through December 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Breanna Libby accept?

Health plans from Anthem Blue Cross and Blue Shield list Breanna Libby 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 Breanna Libby affiliated with any hospitals?

According to CMS data, Breanna Libby is affiliated with Down East Community Hospital.

When was this NPI record last updated?

The NPPES record for Breanna Libby was last updated on November 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.