MISS AMANDA NICOLE BREEDLOVE PNP
NPI 1235486952
Nurse Practitioner - Pediatrics in Fenton, MO
About Miss Amanda Nicole Breedlove Pnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISS AMANDA NICOLE BREEDLOVE PNP (NPI 1235486952) is an individual pediatrics provider in Fenton, Missouri, licensed in Missouri (2012026927) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
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)
Miss Amanda Nicole Breedlove Pnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63026 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FENTON, MO 63026
FENTON, MO 63026
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 Amanda Breedlove's NPI number?
The NPI number for Amanda Breedlove is 1235486952. It was assigned to this individual provider in the NPPES registry on August 13, 2012.
Where is Amanda Breedlove located?
Amanda Breedlove practices at 1203 Smizer Mill Rd Suite 100, Fenton, MO 63026. The listed phone number is (636) 717-1414.
What is Amanda Breedlove's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Amanda Breedlove enrolled in Medicare?
Yes. Amanda Breedlove is registered in the Medicare PECOS enrollment system.
What insurance does Amanda Breedlove accept?
Health plans from Medica and UnitedHealthcare list Amanda Breedlove 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 Amanda Breedlove was last updated on February 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Miss Amanda Nicole Breedlove, PNP · NPI 1235486952
Pediatrics physician in Fenton, Missouri. Individual provider, active in the CMS NPPES registry since August 13, 2012.
## Identity
- **NPI:** 1235486952 (Entity type: Individual)
- **Enumerated:** August 13, 2012
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 2012026927 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 1203 SMIZER MILL RD, SUITE 100, Fenton, MO 63026-3483
- **Phone:** (636) 717-1414
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
## Record status
- **NPPES last updated:** February 28, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1235486952) · Data from the CMS NPPES public registry.