KRYSTINE AMBER BREEDLOVE ACNPC-AG
NPI 1376146910
Nurse Practitioner in Fond Du Lac, WI

Q: What is Krystine Breedlove's NPI number?

The NPI number for Krystine Breedlove is 1376146910. It was assigned to this individual provider in the NPPES registry on November 17, 2020.

Q: What is Krystine Breedlove's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since November 17, 2020PECOS EnrolledAccepts Medicare Assignment

210 WISCONSIN AMERICAN DR, FOND DU LAC, WI 54937(920) 907-7500 Get Directions Write a Review

NPPES record last updated: February 24, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 18, 2025, Mar 18, 2025, Mar 4, 2024 and 1 more (4 updates tracked since 2020).

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About Krystine Amber Breedlove Acnpc-ag NPPES

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

KRYSTINE AMBER BREEDLOVE ACNPC-AG (NPI 1376146910) is an individual nurse practitioner in Fond Du Lac, Wisconsin, licensed in Arizona (249005) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS, is affiliated with Aurora Medical Ctr Oshkosh, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1376146910

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKRYSTINE AMBER BREEDLOVECredential: ACNPC-AG

Location Address210 WISCONSIN AMERICAN DRFond Du Lac, WI 54937-2999

Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250

Phone(920) 907-7500

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateNovember 17, 2020

Last NPPES UpdateFebruary 24, 20264 updates tracked since enumeration

NPPES CertifiedFebruary 24, 2026

✔ NPI 1376146910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in AZ · 249005✔ Licensed in WI · 17458-33

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered NurseTaxonomy 163W00000X · License RN201982 (AZ)

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 249005 (AZ)

210 WISCONSIN AMERICAN DR, Fond Du Lac, WI 54937

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Secondary Practice Locations 2

Location 110401 W Thunderbird BlvdSun City, AZ 85351-3004 · Phone (623) 832-4728

Location 214502 W Meeker BlvdSun City West, AZ 85375-5282 · Phone (623) 524-8814

Other Identifiers 1

Medicaid100390999WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Blue Cross Blue Shield of Arizona, Oscar Insurance Company.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

Krystine Amber Breedlove Acnpc-ag 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 ID143697037

PECOS Enrollment IDI20240125000977, I20260113000782

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

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 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 services17 patients

Hospital Affiliations CMS Care Compare

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

Aurora Medical Ctr Oshkosh

Acute Care Hospitals · Oshkosh, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520198

Location855 N Westhaven DriveOshkosh, WI 54904 · Winnebago County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54937 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

JEANETTE ROEHL APNP FNP

Nurse Practitioner