Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MS. BREAWNNA BLAESING WUNDER RN
NPI 1407639933
Nurse Practitioner - Psychiatric/Mental Health in Taos, NM

Active since August 17, 2023PECOS EnrolledAccepts Medicare Assignment
1331 GUSDORF RD, TAOS, NM 87571(575) 758-3601(505) 579-4669 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 8, 2026, Mar 27, 2026, Nov 21, 2024 and 2 more (5 updates tracked since 2023).

About Ms. Breawnna Blaesing Wunder Rn NPPES

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

MS. BREAWNNA BLAESING WUNDER RN (NPI 1407639933) is an individual psychiatric/mental health provider in Taos, New Mexico, licensed in New Mexico (79552) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Taos, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1407639933
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. BREAWNNA BLAESING WUNDERCredential: RN
Location Address1331 GUSDORF RDTaos, NM 87571-6282
Mailing Address1331 Gusdorf RdTaos, NM 87571-6282
Fax(505) 579-4669
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 17, 2023
Last NPPES UpdateJuly 8, 20265 updates tracked since enumeration
NPPES CertifiedJuly 8, 2026
NPI 1407639933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in NM · 79552
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License RN-79465 (NM)
1331 GUSDORF RD, Taos, NM 87571

Secondary Practice Location 1

Location 11331 Maestas RdTaos, NM 87571-6268 · Phone (575) 776-7806

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

Ms. Breawnna Blaesing Wunder Rn 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 ID2163957770
PECOS Enrollment IDI20241119004190
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 87571 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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 13

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

Social Worker (Clinical)
1331 GUSDORF RD
TAOS, NM 87571
Nurse Practitioner (Family)
1331 GUSDORF RD
TAOS, NM 87571
Counselor (Mental Health)
1331 GUSDORF RD
TAOS, NM 87571
General Practice
1331 GUSDORF RD
TAOS, NM 87571
Social Worker
1331 GUSDORF RD
TAOS, NM 87571
Counselor (Mental Health)
1331 GUSDORF RD
TAOS, NM 87571
Social Worker
1331 GUSDORF RD, EL CENTRO FAMILLY HEALTH-TAOS CLINIC
TAOS, NM 87571
Counselor (Mental Health)
1331 GUSDORF RD
TAOS, NM 87571

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 Breawnna Wunder's NPI number?

The NPI number for Breawnna Wunder is 1407639933. It was assigned to this individual provider in the NPPES registry on August 17, 2023.

Where is Breawnna Wunder located?

Breawnna Wunder practices at 1331 Gusdorf Rd, Taos, NM 87571. The listed phone number is (575) 758-3601.

What is Breawnna Wunder's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Breawnna Wunder enrolled in Medicare?

Yes. Breawnna Wunder 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 Breawnna Wunder was last updated on July 8, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.