BREANNE CALLAN GROVE PA-C
NPI 1285419267
Physician Assistant in Newark, DE

Q: What is Breanne Grove's NPI number?

The NPI number for Breanne Grove is 1285419267. It was assigned to this individual provider in the NPPES registry on August 29, 2023.

Q: What is Breanne Grove's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Breanne Grove was last updated on October 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since August 29, 2023PECOS EnrolledAccepts Medicare Assignment

4755 OGLETOWN STANTON RD STE 1900, NEWARK, DE 19718(302) 733-6510(302) 733-3340 Get Directions Write a Review

NPPES record last updated: October 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 20, 2023, Aug 29, 2023 (2 updates tracked since 2023).

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About Breanne Callan Grove Pa-c NPPES

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

BREANNE CALLAN GROVE PA-C (NPI 1285419267) is an individual physician assistant in Newark, Delaware, licensed in Delaware (C5-0011968) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1285419267

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameBREANNE CALLAN GROVECredential: PA-C

Location Address4755 OGLETOWN STANTON RD STE 1900Newark, DE 19718-2200

Mailing Address4755 Ogletown Stanton Rd Ste 1900Newark, DE 19718-2200 · (302) 733-6510 · Fax (302) 733-3340

Phone(302) 733-6510

Fax(302) 733-3340

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateAugust 29, 2023

Last NPPES UpdateOctober 20, 20232 updates tracked since enumeration

NPPES CertifiedOctober 20, 2023

✔ NPI 1285419267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in DE · C5-0011968

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

4755 OGLETOWN STANTON RD STE 1900, Newark, DE 19718

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Breanne Callan Grove Pa-c 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 ID1254785694

PECOS Enrollment IDI20231003003716

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 19718 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

$88.37 typical visit price

range $57.12 – $173.08

Typical copayment $22.09 (range $14.28 – $43.27)

Most-billed visit code 99203

Established Patient

$71.19 typical visit price

range $18.36 – $141.05

Typical copayment $17.79 (range $4.59 – $35.26)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 16

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

KELLY E. MCNAMARA

Obstetrics & Gynecology