BREANNA WHITLOCK MS, FNP-BC
NPI 1376910331
Nurse Practitioner - Family in Bethesda, MD
About Breanna Whitlock Ms, Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BREANNA WHITLOCK MS, FNP-BC (NPI 1376910331) is an individual family provider in Bethesda, Maryland, licensed in Maryland (AC001604) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS, is affiliated with Champlain Valley Physicians Hospital Medical Ctr, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses 2
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
Breanna Whitlock Ms, Fnp-bc 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.
Medicare Billing Reassignments
2Medicare enrollment records show Breanna Whitlock reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tysons, VA 22102
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- Also billed through NPI 1689485963 (Maryland)
- 691 clinicians in this Medicare group
Plattsburgh, NY 12901
- Reassigned Medicare billing, New York enrollment
- 675 clinicians in this Medicare group
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Champlain Valley Physicians Hospital Medical Ctr
Acute Care Hospitals · Plattsburgh, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20817 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BETHESDA, MD 20817
BETHESDA, MD 20817
BETHESDA, MD 20817
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 Breanna Whitlock's NPI number?
The NPI number for Breanna Whitlock is 1376910331. It was assigned to this individual provider in the NPPES registry on August 26, 2015.
Where is Breanna Whitlock located?
Breanna Whitlock practices at 6420 Rockledge Dr Suite 4100, Bethesda, MD 20817. The listed phone number is (301) 530-5151.
What is Breanna Whitlock's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Breanna Whitlock enrolled in Medicare?
Yes. Breanna Whitlock 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 organizations bill Medicare for Breanna Whitlock's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Breanna Whitlock reassigns Medicare benefits to 2 organizations: Johns Hopkins Community Physicians, Inc (Tysons, VA) and Champlain Valley Physicians Hospital Medical Center (Plattsburgh, NY). Each 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 Breanna Whitlock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Breanna Whitlock affiliated with any hospitals?
According to CMS data, Breanna Whitlock is affiliated with Champlain Valley Physicians Hospital Medical Ctr.
When was this NPI record last updated?
The NPPES record for Breanna Whitlock was last updated on November 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Breanna Whitlock, MS, FNP-BC · NPI 1376910331
Family physician in Bethesda, Maryland. Individual provider, active in the CMS NPPES registry since August 26, 2015.
## Identity
- **NPI:** 1376910331 (Entity type: Individual)
- **Enumerated:** August 26, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** AC001604 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 6420 ROCKLEDGE DR, SUITE 4100, Bethesda, MD 20817-7837
- **Phone:** (301) 530-5151 · **Fax:** (301) 530-7735
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Johns Hopkins Community Physicians, Inc (NPI 1790631695, Tysons, VA); Champlain Valley Physicians Hospital Medical Center (NPI 1033270699, Plattsburgh, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** November 23, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1376910331) · Data from the CMS NPPES public registry.