JESSICA DAWN BREAUX FNP
NPI 1437795416
Nurse Practitioner - Family in Durham, NC

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

Active since November 25, 2019PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

5306 NC HIGHWAY 55 STE 105, DURHAM, NC 27713(919) 457-1517(919) 363-7697 Get Directions Write a Review

NPPES record last updated: August 22, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 22, 2022, Nov 25, 2019 (2 updates tracked since 2019).

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About Jessica Dawn Breaux Fnp NPPES

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

JESSICA DAWN BREAUX FNP (NPI 1437795416) is an individual family provider in Durham, North Carolina, licensed in North Carolina (5012568) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Elizabeth City, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1437795416

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJESSICA DAWN BREAUXCredential: FNP

Location Address5306 NC HIGHWAY 55 STE 105Durham, NC 27713-7812

Mailing Address695 Oak Stump RdElizabeth City, NC 27909-7605 · (252) 331-1898

Phone(919) 457-1517

Fax(919) 363-7697

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateNovember 25, 2019

Last NPPES UpdateAugust 22, 20222 updates tracked since enumeration

NPPES CertifiedAugust 22, 2022

✔ NPI 1437795416 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 NC · 5012568

5306 NC HIGHWAY 55 STE 105, Durham, NC 27713

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Secondary Practice Location 1

Location 1615 S Hughes BlvdElizabeth City, NC 27909-4785 · Phone (252) 338-3111

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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

Jessica Dawn Breaux Fnp 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 ID7911332143

PECOS Enrollment IDI20200116002310

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 6

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

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.

1,279 services206 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

277 services35 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.

101 services59 patients

Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes 99345

A new patient home visit is a comprehensive 75-minute appointment conducted at your home. The healthcare professional will assess your health, discuss any concerns, and create a personalized care plan. It's convenient, comfortable, and tailored to your specific needs.

80 services80 patients

Assessment of and care planning for patient with impaired thought processing, typically 60 minutes 99483

This service involves a thorough evaluation of your thought processes, which may be impacting your daily life. In a typical 50-minute session, a healthcare professional will assess your cognitive abilities, identify any areas of concern, and develop a personalized care plan to help improve your mental function.

50 services46 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.

37 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27713 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.

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.

75/100

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

Individually scored

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.

ANGELA SMITH

Social Worker (Clinical)