BREYOCHA DEWALT NP
NPI 1548045263
Nurse Practitioner - Acute Care in Memphis, TN

Q: What is Breyocha Dewalt's NPI number?

The NPI number for Breyocha Dewalt is 1548045263. It was assigned to this individual provider in the NPPES registry on August 30, 2023. The provider is also known as Breyocha Mays.

Q: What is Breyocha Dewalt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Breyocha Dewalt was last updated on September 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 August 30, 2023PECOS EnrolledAccepts Medicare Assignment

1211 UNION AVE STE 965, MEMPHIS, TN 38104(901) 435-8550(901) 478-0781 Get Directions Write a Review

NPPES record last updated: September 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Breyocha Dewalt Np NPPES

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

BREYOCHA DEWALT NP (NPI 1548045263) is an individual acute care provider in Memphis, Tennessee, licensed in Tennessee (34590) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS, is affiliated with Methodist Hospitals Of Memphis, and maintains a secondary practice location in Memphis.

NPPES Registry Identity

NPI1548045263

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameBREYOCHA DEWALTCredential: NP

Location Address1211 UNION AVE STE 965Memphis, TN 38104-6638

Mailing AddressPo Box 1000, Dept 960Memphis, TN 38148-0001 · (901) 758-9900 · Fax (901) 752-2335

Phone(901) 435-8550

Fax(901) 478-0781

Sole ProprietorNo

Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2023

Enumeration DateAugust 30, 2023

Last NPPES UpdateSeptember 20, 2023

NPPES CertifiedSeptember 20, 2023

✔ NPI 1548045263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in TN · 34590

Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 0000223825 (TN)

1211 UNION AVE STE 965, Memphis, TN 38104

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Other Names 1

Former Name (1)Breyocha Mays

Secondary Practice Location 1

Location 11251 Wesley Dr Ste 153Memphis, TN 38116-6443 · Phone (901) 435-8550 · Fax (901) 395-2621

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, UnitedHealthcare.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

Breyocha Dewalt Np 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 ID1355795139

PECOS Enrollment IDI20230927003033

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.

Hospital Affiliations CMS Care Compare

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

Methodist Hospitals Of Memphis

Acute Care Hospitals · Memphis, TN

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number440049

Location1265 Union Ave Suite 700Memphis, TN 38104 · Shelby County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38104 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

DR. ERICHA MORGAN BRAUER HANNAHAN DNP, APRN, FNP-C

Nurse Practitioner (Family)