VALERIE BREEDING
NPI 1427508738
Nurse Practitioner - Family in Richmond, KY

Q: What is Valerie Breeding's NPI number?

The NPI number for Valerie Breeding is 1427508738. It was assigned to this individual provider in the NPPES registry on October 11, 2016. The provider is also known as Valerie Leigh Sipple.

Q: What is Valerie Breeding's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Valerie Breeding was last updated on October 31, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since October 11, 2016PECOS EnrolledAccepts Medicare Assignment

95.5/100

CMS Quality Rating

890 RICHMOND PLZ, RICHMOND, KY 40475(859) 623-5155 Get Directions Write a Review

NPPES record last updated: October 31, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 31, 2016, Oct 11, 2016 (2 updates tracked since 2016).

On this page

About Valerie Breeding NPPES

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

VALERIE BREEDING (NPI 1427508738) is an individual family provider in Richmond, Kentucky, licensed in Kentucky (3010839) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Richmond, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1427508738

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameVALERIE BREEDING

Location Address890 RICHMOND PLZRichmond, KY 40475-2564

Mailing Address3403 Berkshire CirJohnson City, TN 37604-8922 · (423) 440-9287

Phone(859) 623-5155

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateOctober 11, 2016

Last NPPES UpdateOctober 31, 20162 updates tracked since enumeration

✔ NPI 1427508738 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

License✔ Licensed in KY · 3010839

890 RICHMOND PLZ, Richmond, KY 40475

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Other Names 1

Former Name (1)Valerie Leigh Sipple

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.Insurance ›

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

Valerie Breeding 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 ID7911286489

PECOS Enrollment IDI20161128002064

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.

Medicare Billing Reassignments

Medicare enrollment records show Valerie Breeding reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bluegrass Family Medicine & Pediatrics PLLC

20 mi

Family Medicine

90 COMMERCE DR
Lancaster, KY 40444

Reassigned Medicare billing, Kentucky enrollment
5 clinicians in this Medicare group

NPI 1730573452 (859) 792-1420

Baptist Health Medical Group Inc

20 mi

Nurse Practitioner

100 PROVIDENCE WAY STE 200
Nicholasville, KY 40356

Reassigned Medicare billing, Kentucky enrollment
999 clinicians in this Medicare group

NPI 1255805586 (859) 260-5370

Kiosk Medicine Kentucky LLC

81 mi

Family

3039 BRECKENRIDGE LN
Louisville, KY 40220

Reassigned Medicare billing, Kentucky enrollment
488 clinicians in this Medicare group

NPI 1205885035 (502) 451-4555

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 9

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

154 services92 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

81 services57 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

78 services70 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

42 services42 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

33 services28 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428

This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.

16 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Baptist Health Richmond

Acute Care Hospitals · Richmond, KY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180049

Location801 Eastern BypassRichmond, KY 40475 · Madison County

Emergency services Birthing friendly

University Of Kentucky Hospital

Acute Care Hospitals · Lexington, KY

3/5 CMS rating

OwnershipGovernment - State

CMS Certification Number180067

Location800 Rose StreetLexington, KY 40536 · Fayette County

Emergency services Birthing friendly

Baptist Health Lexington

Acute Care Hospitals · Lexington, KY

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number180103

Location1740 Nicholasville RoadLexington, KY 40503 · Fayette County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40475 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.5/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

89.59

Promoting Interoperability

100

Improvement Activities

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.

BRIAN AVERY SHAW PHARMD

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)