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BREANA MICHELLE BALL NP
NPI 1265943419
Nurse Practitioner - Family in Saint Clairsville, OH

Active since October 16, 2017PECOS EnrolledAccepts Medicare Assignment
106 PLAZA DR, SAINT CLAIRSVILLE, OH 43950(800) 318-1794(234) 285-6816 Get Directions Write a Review

NPPES record last updated: December 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 11, 2025, Sep 11, 2024, Jun 11, 2024 and 2 more (5 updates tracked since 2017).

About Breana Michelle Ball Np NPPES

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

BREANA MICHELLE BALL NP (NPI 1265943419) is an individual family provider in Saint Clairsville, Ohio, licensed in Ohio (APRN.CNP.0027592) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS, is affiliated with Trinity Medical Ctr East &trinity Medical Ctr West, and maintains a secondary practice location in Steubenville.

NPPES Registry Identity

NPI1265943419
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBREANA MICHELLE BALLCredential: NP
Location Address106 PLAZA DRSaint Clairsville, OH 43950-6700
Mailing Address380 Summit AveSteubenville, OH 43952-2667 · (740) 283-7597 · Fax (740) 283-7807
Phone(800) 318-1794
Fax(234) 285-6816
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 16, 2017
Last NPPES UpdateDecember 11, 20255 updates tracked since enumeration
NPPES CertifiedDecember 11, 2025
✔ NPI 1265943419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OH · APRN.CNP.0027592
Also ListedNurse PractitionerTaxonomy 363L00000X · License 78286 (WV)
106 PLAZA DR, Saint Clairsville, OH 43950
Open in Google Maps ↗

Secondary Practice Location 1

Location 14100 Johnson Rd Ste 206Steubenville, OH 43952-2372 · Phone (740) 899-7294 · Fax (740) 899-7301

Other Identifiers 3

Medicaid1265943419WV
Medicaid0249900OH
Medicaid1041764170001PA

Accepted Insurance

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

Breana Michelle Ball Np 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 ID4789943648
PECOS Enrollment IDI20201112001955
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 Reassignment

Medicare enrollment records show Breana Ball reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Trinity West
25 mi
Family Medicine
380 SUMMIT AVE, MSO PHYSICIAN BILLING
Steubenville, OH 43952
  • Reassigned Medicare billing, Ohio enrollment
  • 158 clinicians in this Medicare group
NPI 1043234677 (740) 283-7597

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

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
568 services394 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
59 services58 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
28 services28 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
27 services25 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
24 services24 patients

Hospital Affiliations CMS Care Compare 4

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

Trinity Medical Ctr East &trinity Medical Ctr West

Acute Care Hospitals · Steubenville, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360211
Location380 Summit AvenueSteubenville, OH 43952 · Jefferson County
Emergency services Birthing friendly

Barnesville Hospital Association, Inc

Critical Access Hospitals · Barnesville, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361321
Location639 West Main StreetBarnesville, OH 43713 · Belmont County
Emergency services

Reynolds Memorial Hospital

Acute Care Hospitals · Glen Dale, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510013
Location800 Wheeling AveGlen Dale, WV 26038 · Marshall County
Emergency services Birthing friendly

Wheeling Hospital, Inc

Acute Care Hospitals · Wheeling, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number510050
Location1 Medical ParkWheeling, WV 26003 · Ohio County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43950 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 20

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

JAMIE LEE SESZKO FNP-BC
Nurse Practitioner (Family)
106 PLAZA DR
SAINT CLAIRSVILLE, OH 43950
Belmont County (740) 526-0731
OHIO VALLEY MEDICAL CENTER INC
Family Medicine (Adolescent Medicine)
106 PLAZA DR
SAINT CLAIRSVILLE, OH 43950
Belmont County (740) 695-5200
CRYSTAL AKERS
Nurse Practitioner (Family)
106 PLAZA DR
SAINT CLAIRSVILLE, OH 43950
Belmont County (740) 296-5159
VINCENT KOLENICH DPM
Podiatrist
106 PLAZA DR
SAINT CLAIRSVILLE, OH 43950
Belmont County (740) 695-1474
PAUL D WEIDMAN, MD PLLC
Family Medicine
106 PLAZA DR
SAINT CLAIRSVILLE, OH 43950
Belmont County (740) 296-5159
OB GYN SERVICES, INC.
Obstetrics & Gynecology
106 PLAZA DR
SAINT CLAIRSVILLE, OH 43950
Belmont County (740) 695-1811
EARL FRITZ BRAUNLICH MD
Orthopaedic Surgery
106 PLAZA DR
SAINT CLAIRSVILLE, OH 43950
Belmont County (740) 695-1474
GREGORY ARTURO SUERO ABREU M.D.
Internal Medicine (Interventional Cardiology)
106 PLAZA DR
SAINT CLAIRSVILLE, OH 43950
Belmont County (800) 318-1794

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 Breana Ball's NPI number?

The NPI number for Breana Ball is 1265943419. It was assigned to this individual provider in the NPPES registry on October 16, 2017.

Where is Breana Ball located?

Breana Ball practices at 106 Plaza Dr, Saint Clairsville, OH 43950. The listed phone number is (800) 318-1794.

What is Breana Ball's specialty?

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

Is Breana Ball enrolled in Medicare?

Yes. Breana Ball 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 organization bills Medicare for Breana Ball's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Breana Ball reassigns Medicare benefits to Trinity West (Steubenville, OH). The 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 Breana Ball's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Breana Ball accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Breana Ball 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 Breana Ball affiliated with any hospitals?

According to CMS data, Breana Ball is affiliated with Trinity Medical Ctr East &trinity Medical Ctr West, Barnesville Hospital Association, Inc, Reynolds Memorial Hospital and Wheeling Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Breana Ball was last updated on December 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.