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MS. BREANNA NICOLE JAMES DNP APRN FNP-BC
NPI 1164043667
Nurse Practitioner - Pediatrics, Critical Care in Middleburg, FL

Active since May 06, 2020PECOS Enrolled
3839 COUNTY ROAD 218, MIDDLEBURG, FL 32068(904) 282-5474(833) 578-1813 Get Directions Write a Review

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

Record update history: Nov 4, 2024, May 6, 2020 (2 updates tracked since 2020).

About Ms. Breanna Nicole James Dnp Aprn Fnp-bc NPPES

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

MS. BREANNA NICOLE JAMES DNP APRN FNP-BC (NPI 1164043667) is an individual pediatrics, critical care provider in Middleburg, Florida, licensed in Florida (APRN11006399) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1164043667
Entity TypeIndividualFemale
Primary Taxonomy363LP0222X
Provider Legal NameMS. BREANNA NICOLE JAMESCredential: DNP APRN FNP-BC
Location Address3839 COUNTY ROAD 218Middleburg, FL 32068-5708
Mailing Address330 Corporate Way Ste 200Orange Park, FL 32073-6214 · (904) 282-6331 · Fax (904) 866-4818
Phone(904) 282-5474
Fax(833) 578-1813
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMay 6, 2020
Last NPPES UpdateJune 17, 20262 updates tracked since enumeration
NPPES CertifiedJune 17, 2026
✔ NPI 1164043667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · Pediatrics, Critical CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0222X
License✔ Licensed in FL · APRN11006399
Also ListedNurse PractitionerTaxonomy 363L00000X · License APRN11006399 (FL)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License APRN11006399 (FL)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License APRN11006399 (FL)
3839 COUNTY ROAD 218, Middleburg, FL 32068
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11689 Eagle Harbor Pkwy Ste AFleming Island, FL 32003-4817 · Phone (904) 269-1366 · Fax (904) 264-9750
Location 21906 Southside BlvdJacksonville, FL 32216-1930 · Phone (904) 724-3083 · Fax (904) 727-9103
Location 3800 Prudential DrJacksonville, FL 32207-8211 · Phone (904) 202-2000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Breanna Nicole James Dnp Aprn Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID749611028
PECOS Enrollment IDI20200521000711
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 Reassignment

Medicare enrollment records show Breanna James reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physicians Group Services PA
10 mi
Family Medicine
1689 EAGLE HARBOR PKWY STE A
Fleming Island, FL 32003
  • Reassigned Medicare billing, Florida enrollment
  • 136 clinicians in this Medicare group
NPI 1699138362 (904) 269-1366

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

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.
17 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32068 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 8

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

PHYSICIANS GROUP SERVICES PA
Family Medicine
3839 COUNTY ROAD 218
MIDDLEBURG, FL 32068
Clay County (904) 282-5474
DR. KENT THOMAS BRAEUTIGAM D.O.
General Practice
3839 COUNTY ROAD 218
MIDDLEBURG, FL 32068
Clay County (904) 282-5474
ACKERMAN CANCER CENTER, PA
Urology
3839 COUNTY ROAD 218
MIDDLEBURG, FL 32068
Clay County (904) 490-7400
MS. VICTORIA ANN JACOBS APRN
Nurse Practitioner (Family)
3839 COUNTY ROAD 218
MIDDLEBURG, FL 32068
Clay County (904) 282-5474
LYNN MICHAEL WATERS JR. D.O.
Family Medicine
3839 COUNTY ROAD 218
MIDDLEBURG, FL 32068
Clay County (904) 282-5474
MR. DAVID ANTHONY POZO DO
Internal Medicine
3839 COUNTY ROAD 218
MIDDLEBURG, FL 32068
Clay County (904) 282-5474
DR. BENJAMIN WO-SHUN GOH DO
Family Medicine
3839 COUNTY ROAD 218
MIDDLEBURG, FL 32068
Clay County (904) 282-5474
BETTY MICHELLE PATE ARNP
Nurse Practitioner (Pediatrics)
3839 COUNTY ROAD 218
MIDDLEBURG, FL 32068
Clay County (904) 861-1034

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 James's NPI number?

The NPI number for Breanna James is 1164043667. It was assigned to this individual provider in the NPPES registry on May 6, 2020.

Where is Breanna James located?

Breanna James practices at 3839 County Road 218, Middleburg, FL 32068. The listed phone number is (904) 282-5474.

What is Breanna James's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, Critical Care, with taxonomy code 363LP0222X.

Is Breanna James enrolled in Medicare?

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

Which organization bills Medicare for Breanna James's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Breanna James reassigns Medicare benefits to Physicians Group Services PA (Fleming Island, FL). The 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 Breanna James's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Breanna James accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama and Oscar Health Maintenance Organization of Florida list Breanna James 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.

When was this NPI record last updated?

The NPPES record for Breanna James was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.