BREANNE KRISTEN MASTROMARINO NP
NPI 1306715016
Nurse Practitioner - Acute Care in New York, NY

Active since October 31, 2025PECOS EnrolledAccepts Medicare Assignment
177 FORT WASHINGTON AVE, NEW YORK, NY 10032(212) 305-6345 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Breanne Kristen Mastromarino Np NPPES

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

BREANNE KRISTEN MASTROMARINO NP (NPI 1306715016) is an individual acute care provider in New York, New York, licensed in New York (433473) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1306715016
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameBREANNE KRISTEN MASTROMARINOCredential: NP
Location Address177 FORT WASHINGTON AVENew York, NY 10032-3733
Mailing Address262 Briarcliff RdRidgewood, NJ 07450-4908
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 31, 2025
Last NPPES UpdateNovember 19, 2025
NPPES CertifiedNovember 19, 2025
NPI 1306715016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in NY · 433473
177 FORT WASHINGTON AVE, New York, NY 10032

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 Kristen Mastromarino 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 ID8921594987
PECOS Enrollment IDI20251230001564
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 10032 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

Physical Therapist
177 FORT WASHINGTON AVE
NEW YORK, NY 10032
Nurse Practitioner (Family)
177 FORT WASHINGTON AVE
NEW YORK, NY 10032
Occupational Therapist
177 FORT WASHINGTON AVE, 8 GARDEN NORTH
NEW YORK, NY 10032
Occupational Therapist
177 FORT WASHINGTON AVE
NEW YORK, NY 10032
Surgery (Surgical Critical Care)
177 FORT WASHINGTON AVE
NEW YORK, NY 10032
Physician Assistant
177 FORT WASHINGTON AVE
NEW YORK, NY 10032
Student in an Organized Health Care Education/Training Program
177 FORT WASHINGTON AVE, INTERNAL MEDICINE RESIDENCY OFFICE, FLOOR 6, CENTER 12
NEW YORK, NY 10032
Physician Assistant
177 FORT WASHINGTON AVE
NEW YORK, NY 10032

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 Breanne Mastromarino's NPI number?

The NPI number for Breanne Mastromarino is 1306715016. It was assigned to this individual provider in the NPPES registry on October 31, 2025.

Where is Breanne Mastromarino located?

Breanne Mastromarino practices at 177 Fort Washington Ave, New York, NY 10032. The listed phone number is (212) 305-6345.

What is Breanne Mastromarino's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Breanne Mastromarino enrolled in Medicare?

Yes. Breanne Mastromarino 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.

When was this NPI record last updated?

The NPPES record for Breanne Mastromarino was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.