MALLORY SIMPSON BREITMAIER FNP
NPI 1265786917
Nurse Practitioner - Family in Colchester, CT

Q: What is Mallory Breitmaier's NPI number?

The NPI number for Mallory Breitmaier is 1265786917. It was assigned to this individual provider in the NPPES registry on November 2, 2012.

Q: What is Mallory Breitmaier's specialty?

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

Active since November 02, 2012PECOS Enrolled

119 S MAIN ST, MINUTECLINIC, COLCHESTER, CT 06415(401) 714-5502 Get Directions Write a Review

NPPES record last updated: February 10, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mallory Simpson Breitmaier Fnp NPPES

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

MALLORY SIMPSON BREITMAIER FNP (NPI 1265786917) is an individual family provider in Colchester, Connecticut, licensed in Connecticut (5210) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Hartford.

NPPES Registry Identity

NPI1265786917

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMALLORY SIMPSON BREITMAIERCredential: FNP

Location Address119 S MAIN ST, MINUTECLINICColchester, CT 06415-1456

Mailing Address71 Leafwood Ln, # 297Groton, CT 06340-6701 · (401) 714-5502

Phone(401) 714-5502

Sole ProprietorNo

Enumeration DateNovember 2, 2012

Last NPPES UpdateFebruary 10, 2023

NPPES CertifiedFebruary 10, 2023

✔ NPI 1265786917 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 CT · 5210

119 S MAIN ST, Colchester, CT 06415

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Secondary Practice Location 1

Location 1282 Washington StHartford, CT 06106-3322 · Phone (860) 545-9520

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mallory Simpson Breitmaier 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 06415 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

$93.86 typical visit price

range $60.82 – $183.10

Typical copayment $23.46 (range $15.20 – $45.77)

Most-billed visit code 99203

Established Patient

$106.68 typical visit price

range $19.76 – $149.26

Typical copayment $26.67 (range $4.94 – $37.31)

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.

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