BREANNA COULARDOT
NPI 1215662135
Nurse Practitioner - Psychiatric/Mental Health in Louisville, KY

Q: What is Breanna Coulardot's NPI number?

The NPI number for Breanna Coulardot is 1215662135. It was assigned to this individual provider in the NPPES registry on July 24, 2022.

Q: What is Breanna Coulardot's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Breanna Coulardot was last updated on March 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 July 24, 2022PECOS Enrolled

4011 GARDINER POINT DR STE 101, LOUISVILLE, KY 40213(502) 451-5121 Get Directions Write a Review

NPPES record last updated: March 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 27, 2025, Jul 24, 2022 (2 updates tracked since 2022).

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About Breanna Coulardot NPPES

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

BREANNA COULARDOT (NPI 1215662135) is an individual psychiatric/mental health provider in Louisville, Kentucky, licensed in Kentucky (4015287) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215662135

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameBREANNA COULARDOT

Location Address4011 GARDINER POINT DR STE 101Louisville, KY 40213-1988

Mailing Address107 Pennyrile DrCoxs Creek, KY 40013-6652

Phone(502) 451-5121

Sole ProprietorNo

Enumeration DateJuly 24, 2022

Last NPPES UpdateMarch 27, 20252 updates tracked since enumeration

NPPES CertifiedMarch 27, 2025

✔ NPI 1215662135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in KY · 4015287

4011 GARDINER POINT DR STE 101, Louisville, KY 40213

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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 Coulardot 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 40213 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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 7

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

ANN W SWINTOSKY APRN

Nurse Practitioner (Psychiatric/Mental Health)