MICHELLE BREEDLOVE NP-C
NPI 1316432099
Nurse Practitioner - Family in Hendersonville, NC

Active since June 26, 2018PECOS EnrolledAccepts Medicare Assignment
200 HERITAGE CIR, HENDERSONVILLE, NC 28791(337) 991-9276 Get Directions Write a Review

NPPES record last updated: August 18, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 18, 2023, Jul 6, 2019, Jun 26, 2018 (3 updates tracked since 2018).

About Michelle Breedlove Np-c NPPES

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

MICHELLE BREEDLOVE NP-C (NPI 1316432099) is an individual family provider in Hendersonville, North Carolina, licensed in North Carolina (5010646) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with St Lukes Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1316432099
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMICHELLE BREEDLOVECredential: NP-C
Location Address200 HERITAGE CIRHendersonville, NC 28791-0713
Mailing AddressPo Box 545Columbus, NC 28722-0545 · (803) 493-6816
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 26, 2018
Last NPPES UpdateAugust 18, 20233 updates tracked since enumeration
NPPES CertifiedAugust 18, 2023
NPI 1316432099 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
Licenses Licensed in NC · 5010646 Licensed in SC · 22324
200 HERITAGE CIR, Hendersonville, NC 28791

Secondary Practice Locations 2

Location 12511 Old Cornwallis Rd Ste 200Durham, NC 27713-1869 · Phone (919) 932-5700 · Fax (919) 933-6881
Location 263 Blackstock RdInman, SC 29349-1835 · Phone (864) 472-9055

Accepted Insurance

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

Michelle Breedlove Np-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 ID9133477755
PECOS Enrollment IDI20180730002051, I20181203003064
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.

Areas of Expertise CMS Part B claims 8

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.

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
314 services40 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
186 services49 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
183 services34 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
70 services28 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
33 services23 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
23 services11 patients

Hospital Affiliations CMS Care Compare

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

St Lukes Hospital

Critical Access Hospitals · Columbus, NC
OwnershipVoluntary non-profit - Private
CMS Certification Number341322
Location101 Hospital DriveColumbus, NC 28722 · Polk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28791 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$27.49 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

Skilled Nursing Facility
200 HERITAGE CIR
HENDERSONVILLE, NC 28791
Skilled Nursing Facility
200 HERITAGE CIR
HENDERSONVILLE, NC 28791
Speech-Language Pathologist
200 HERITAGE CIR
HENDERSONVILLE, NC 28791
Nurse Practitioner (Family)
200 HERITAGE CIR
HENDERSONVILLE, NC 28791
Registered Nurse
200 HERITAGE CIR
HENDERSONVILLE, NC 28791

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 Michelle Breedlove's NPI number?

The NPI number for Michelle Breedlove is 1316432099. It was assigned to this individual provider in the NPPES registry on June 26, 2018.

Where is Michelle Breedlove located?

Michelle Breedlove practices at 200 Heritage Cir, Hendersonville, NC 28791. The listed phone number is (337) 991-9276.

What is Michelle Breedlove's specialty?

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

Is Michelle Breedlove enrolled in Medicare?

Yes. Michelle Breedlove 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.

What insurance does Michelle Breedlove accept?

Health plans from Blue Cross and Blue Shield of NC, BlueCross BlueShield of South Carolina and UnitedHealthcare list Michelle Breedlove 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 Michelle Breedlove affiliated with any hospitals?

According to CMS data, Michelle Breedlove is affiliated with St Lukes Hospital.

When was this NPI record last updated?

The NPPES record for Michelle Breedlove was last updated on August 18, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.