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BREEANE WAZNEY MD
NPI 1538722822
Pediatrics in Queen Creek, AZ

Active since April 22, 2019PECOS Enrolled
21772 S ELLSWORTH LOOP RD, QUEEN CREEK, AZ 85142(480) 512-3700(480) 512-3715 Get Directions Write a Review

NPPES record last updated: October 5, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 5, 2022, Apr 22, 2019 (2 updates tracked since 2019).

About Breeane Wazney Md NPPES

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

BREEANE WAZNEY MD (NPI 1538722822) is an individual pediatrics provider in Queen Creek, Arizona, licensed in Arizona (65765) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1538722822
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameBREEANE WAZNEYCredential: MD
Location Address21772 S ELLSWORTH LOOP RDQueen Creek, AZ 85142-7709
Mailing Address17764 Millstone DrMacomb, MI 48044-4185 · (586) 610-1232
Phone(480) 512-3700
Fax(480) 512-3715
Sole ProprietorNo
Enumeration DateApril 22, 2019
Last NPPES UpdateOctober 5, 20222 updates tracked since enumeration
NPPES CertifiedMay 16, 2022
✔ NPI 1538722822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in AZ · 65765
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
21772 S ELLSWORTH LOOP RD, Queen Creek, AZ 85142
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Oscar Health Plan, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Breeane Wazney Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Breeane Wazney reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Banner Hospital Based Physicians Arizona LLC
4.9 mi
Multi-Specialty
37000 N GANTZEL RD
San Tan Valley, AZ 85140
  • Reassigned Medicare billing, Arizona enrollment
  • 1,081 clinicians in this Medicare group
NPI 1275889891 (480) 543-2034
Banner Childrens Banner Health Clinic LLC
30 mi
Primary Care
2901 N CENTRAL AVE STE 160
Phoenix, AZ 85012
  • Reassigned Medicare billing, Arizona enrollment
  • 57 clinicians in this Medicare group
NPI 1285278077 (602) 747-4000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85142 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

ELIZABETH ANN GEORLETT PA-C
Physician Assistant
21772 S ELLSWORTH LOOP RD
QUEEN CREEK, AZ 85142
Maricopa County (480) 394-4480
JOSHUA EBERHARD D.O.
Pediatrics
21772 S ELLSWORTH LOOP RD
QUEEN CREEK, AZ 85142
Maricopa County (480) 512-3700
JANETTE NICOLE REEVES FNP
Nurse Practitioner (Family)
21772 S ELLSWORTH LOOP RD
QUEEN CREEK, AZ 85142
Maricopa County (480) 512-3700
CHRISTOPHER JAMES BIGGS DO
Internal Medicine
21772 S ELLSWORTH LOOP RD
QUEEN CREEK, AZ 85142
Maricopa County (480) 512-3700
HOLLY MARIA COONEY PA
Physician Assistant
21772 S ELLSWORTH LOOP RD
QUEEN CREEK, AZ 85142
Maricopa County (480) 512-3700
BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC
Clinic/Center (Primary Care)
21772 S ELLSWORTH LOOP RD
QUEEN CREEK, AZ 85142
Maricopa County (480) 512-3700
ROSE CECILIA COLUCCI PHARMD
Pharmacist (Ambulatory Care)
21772 S ELLSWORTH LOOP RD
QUEEN CREEK, AZ 85142
Maricopa County (480) 512-3700
VICTORIA CARLSON
Nurse Practitioner
21772 S ELLSWORTH LOOP RD
QUEEN CREEK, AZ 85142
Maricopa County (480) 512-3700

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 Breeane Wazney's NPI number?

The NPI number for Breeane Wazney is 1538722822. It was assigned to this individual provider in the NPPES registry on April 22, 2019.

Where is Breeane Wazney located?

Breeane Wazney practices at 21772 S Ellsworth Loop Rd, Queen Creek, AZ 85142. The listed phone number is (480) 512-3700.

What is Breeane Wazney's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Breeane Wazney enrolled in Medicare?

Yes. Breeane Wazney is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Breeane Wazney's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Breeane Wazney reassigns Medicare benefits to 2 organizations: Banner Hospital Based Physicians Arizona LLC (San Tan Valley, AZ) and Banner Childrens Banner Health Clinic LLC (Phoenix, AZ). 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 Breeane Wazney's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Breeane Wazney accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Oscar Health Plan, Inc. and UnitedHealthcare list Breeane Wazney as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Breeane Wazney was last updated on October 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.