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DELISHA BREEN
NPI 1235504812
Nurse Practitioner in Haddon Heights, NJ

Active since December 08, 2015PECOS EnrolledAccepts Medicare Assignment
85.48/100
CMS Quality Rating
120 WHITE HORSE PIKE STE 103D, HADDON HEIGHTS, NJ 08035(856) 247-7515(856) 247-7525 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 3, 2026, Dec 23, 2025, Apr 8, 2025 and 1 more (4 updates tracked since 2015).

About Delisha Breen NPPES

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

DELISHA BREEN (NPI 1235504812) is an individual nurse practitioner in Haddon Heights, New Jersey, licensed in New Jersey (26NJ00641800) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS, is affiliated with West Jersey Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1235504812
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameDELISHA BREEN
Location Address120 WHITE HORSE PIKE STE 103DHaddon Heights, NJ 08035-1938
Mailing Address401 Young Ave Ste 375Moorestown, NJ 08057-3133
Phone(856) 247-7515
Fax(856) 247-7525
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateDecember 8, 2015
Last NPPES UpdateFebruary 3, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2026
✔ NPI 1235504812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NJ · 26NJ00641800
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License SP015752 (PA)
120 WHITE HORSE PIKE STE 103D, Haddon Heights, NJ 08035
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Secondary Practice Locations 2

Location 1401 Young Ave Ste 375AMoorestown, NJ 08057-3130 · Phone (856) 291-8900 · Fax (856) 291-8911
Location 2239 Hurffville Crosskeys Rd Ste 355ASewell, NJ 08080-4007 · Phone (856) 247-7515 · Fax (856) 247-7525

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Delisha Breen 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 ID941503965
PECOS Enrollment IDI20161031001715
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

2

Medicare enrollment records show Delisha Breen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Virtua Medical Group, PA
1.3 mi
Urgent Care
602 W CUTHBERT BLVD UNIT 26 STE A
Haddon Township, NJ 08108
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,074 clinicians in this Medicare group
NPI 1932659778 (856) 946-5180
University Of Penn-Medical Group
8.4 mi
Hematology & Oncology
3400 CIVIC CENTER BLVD, 2ND FLOOR
Philadelphia, PA 19104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Also billed through NPI 1194832899 (Pennsylvania)
  • 373 clinicians in this Medicare group
NPI 1679677975 (215) 615-5858

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

West Jersey Hospital

Acute Care Hospitals · Voorhees, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310022
Location100 Bowman DriveVoorhees, NJ 08043 · Camden County
Emergency services Birthing friendly

Virtua Mount Holly Hospital

Acute Care Hospitals · Mount Holly, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310057
Location175 Madison AveMount Holly, NJ 08060 · Burlington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08035 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

85.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
Promoting Interoperability100
Improvement Activities40

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 Delisha Breen's NPI number?

The NPI number for Delisha Breen is 1235504812. It was assigned to this individual provider in the NPPES registry on December 8, 2015.

Where is Delisha Breen located?

Delisha Breen practices at 120 White Horse Pike Ste 103D, Haddon Heights, NJ 08035. The listed phone number is (856) 247-7515.

What is Delisha Breen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Delisha Breen enrolled in Medicare?

Yes. Delisha Breen 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 Delisha Breen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Delisha Breen reassigns Medicare benefits to 2 organizations: Virtua Medical Group, PA (Haddon Township, NJ) and University Of Penn-Medical Group (Philadelphia, PA). 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 Delisha Breen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Delisha Breen accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Delisha Breen 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.

Is Delisha Breen affiliated with any hospitals?

According to CMS data, Delisha Breen is affiliated with West Jersey Hospital and Virtua Mount Holly Hospital.

When was this NPI record last updated?

The NPPES record for Delisha Breen was last updated on February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.