JAMIE L BREEDLOVE CNP
NPI 1124415815
Nurse Practitioner - Adult Health in Tulsa, OK

Active since April 20, 2015PECOS EnrolledAccepts Medicare Assignment
1145 S UTICA AVE STE 202, TULSA, OK 74104(918) 579-3130(918) 579-3139 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 17, 2018, Nov 17, 2017, Oct 11, 2016 and 1 more (4 updates tracked since 2016).

About Jamie L Breedlove Cnp NPPES

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

JAMIE L BREEDLOVE CNP (NPI 1124415815) is an individual adult health provider in Tulsa, Oklahoma, licensed in Oklahoma (88900) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Tulsa, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1124415815
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameJAMIE L BREEDLOVECredential: CNP
Location Address1145 S UTICA AVE STE 202Tulsa, OK 74104-4022
Mailing Address1145 S Utica Ave Ste 202Tulsa, OK 74104-4022 · (918) 579-3130 · Fax (918) 579-3139
Fax(918) 579-3139
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 20, 2015
Last NPPES UpdateMarch 17, 20184 updates tracked since enumeration
✔ NPI 1124415815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in OK · 88900
1145 S UTICA AVE STE 202, Tulsa, OK 74104

Secondary Practice Location 1

Location 16802 S Olympia Ave W, Ste 300Tulsa, OK 74132-1823 · Phone (918) 749-0762

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

Jamie L Breedlove Cnp 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 ID9931410289
PECOS Enrollment IDI20160628001343
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Jamie Breedlove reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nurse Practitioner
4300 W HOUSTON ST
Broken Arrow, OK 74012
  • Reassigned Medicare billing, Oklahoma enrollment
  • 11 clinicians in this Medicare group
Family Medicine
6744 NW CACHE RD
Lawton, OK 73505
  • Reassigned Medicare billing, Oklahoma enrollment
  • 249 clinicians in this Medicare group
Nurse Practitioner
8820 COLUMBIA 100 PKWY STE 430
Columbia, MD 21045
  • Reassigned Medicare billing, Oklahoma enrollment
  • 6 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 8

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
352 services156 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
323 services169 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
48 services43 patients
Nursing facility discharge day management, 30 minutes or less 99315
Nursing facility discharge day management involves organizing your transition from the nursing facility to your home or another facility. This service, taking 30 minutes or less, includes finalizing medical instructions, arranging follow-up care, and answering any questions.
41 services39 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
33 services26 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
31 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74104 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
1 supplier19 claims2,516 services$0.10 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
1 supplier41 claims5,424 services$1.68 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
1 supplier13 claims1,020 services$5.28 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier13 claims26 services$7.98 avg. paid by Medicare
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358
DME-Orthotic Devices · category DF000N
1 supplier12 claims24 services$6.40 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Clinic/Center
1145 S UTICA AVE STE 202
TULSA, OK 74104
Physician Assistant
1145 S UTICA AVE STE 202
TULSA, OK 74104
Physician Assistant (Surgical)
1145 S UTICA AVE STE 202
TULSA, OK 74104

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 Jamie Breedlove's NPI number?

The NPI number for Jamie Breedlove is 1124415815. It was assigned to this individual provider in the NPPES registry on April 20, 2015.

Where is Jamie Breedlove located?

Jamie Breedlove practices at 1145 S Utica Ave Ste 202, Tulsa, OK 74104. The listed phone number is (918) 579-3130.

What is Jamie Breedlove's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Jamie Breedlove enrolled in Medicare?

Yes. Jamie Breedlove 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 organizations bill Medicare for Jamie Breedlove's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jamie Breedlove reassigns Medicare benefits to 3 organizations: Karefirst Oklahoma PC (Broken Arrow, OK), Williams Medical Group Practice, LLC (Lawton, OK) and Provider Partners Care Management LP (Columbia, MD). Each 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 Jamie Breedlove's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jamie Breedlove was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.