MRS. MAKENZIE JULIA BREITBACH FNP
NPI 1164196473
Nurse Practitioner - Family in Jamestown, ND

Q: What is Makenzie Breitbach's NPI number?

The NPI number for Makenzie Breitbach is 1164196473. It was assigned to this individual provider in the NPPES registry on August 2, 2021.

Q: What is Makenzie Breitbach's specialty?

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

Active since August 02, 2021PECOS Enrolled

89.02/100

CMS Quality Rating

2422 20TH ST SW, JAMESTOWN, ND 58401(701) 953-1050 Get Directions Write a Review

NPPES record last updated: August 2, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mrs. Makenzie Julia Breitbach Fnp NPPES

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

MRS. MAKENZIE JULIA BREITBACH FNP (NPI 1164196473) is an individual family provider in Jamestown, North Dakota, licensed in North Dakota (R41764) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164196473

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. MAKENZIE JULIA BREITBACHCredential: FNP

Location Address2422 20TH ST SWJamestown, ND 58401-6201

Mailing Address1100 2nd Ave SwRugby, ND 58368-2402 · (701) 710-1429

Phone(701) 953-1050

Sole ProprietorNo

Enumeration DateAugust 2, 2021

NPPES CertifiedAugust 2, 2021

✔ NPI 1164196473 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 ND · R41764

2422 20TH ST SW, Jamestown, ND 58401

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Medica, Sanford Health Plan.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)

Mrs. Makenzie Julia Breitbach Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 58401 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

$85.71 typical visit price

range $55.75 – $168.12

Typical copayment $21.42 (range $13.93 – $42.03)

Most-billed visit code 99203

Established Patient

$98.29 typical visit price

range $18.11 – $137.65

Typical copayment $24.57 (range $4.52 – $34.41)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

89.02/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

80.58

Promoting Interoperability

Improvement Activities

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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.

TRACY ANDERSON MPT

Physical Therapist