BREYOCHA DEWALT NP
NPI 1548045263
Nurse Practitioner - Acute Care in Memphis, TN
NPI Status: Active since August 30, 2023
Contact Information
1211 UNION AVE STE 965
MEMPHIS, TN
ZIP 38104
Phone: (901) 435-8550
Fax: (901) 478-0781
- Individual
- Female
- Nurse Practitioner
- Acute Care
- Accepts Insurance
- PECOS Enrolled
About BREYOCHA DEWALT
This page provides the complete NPI Profile along with additional information for Breyocha Dewalt, a provider established in Memphis, Tennessee with a medical specialization in Nurse Practitioner, focusing in acute care . The healthcare provider is registered in the NPI registry with number 1548045263 assigned on August 2023. The practitioner's primary taxonomy code is 363LA2100X with license number 34590 (TN). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1548045263
- Provider Name
- BREYOCHA DEWALT NP
- Other Name
- BREYOCHA MAYS
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1211 UNION AVE STE 965 MEMPHIS, TN 38104
- Location Phone
- (901) 435-8550
- Location Fax
- (901) 478-0781
- Mailing Address
- PO BOX 1000, DEPT 960 MEMPHIS, TN 38148
- Mailing Phone
- (901) 758-9900
- Mailing Fax
- (901) 478-0781
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-30-2023
- Last Update Date
- 09-20-2023
- Code Navigator
A nurse practitioner (NP) like Breyocha Dewalt is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Secondary Locations
- 1251 Wesley Dr Ste 153
Memphis, TN 38116
(901) 435-8550
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Acute Care
- Taxonomy Code
- 363LA2100X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 34590
- License State
- TN
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 163WC0200X | Nursing Service Providers | Registered Nurse | 0000223825 (TN) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BlueCross B07S HSA - EPO
- BlueCross B15S $0 virtual care from Teladoc Health � - EPO
- BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross B17S $0 virtual care from Teladoc Health � + Adult Dental - EPO
- BlueCross G06S $35 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S25S $55 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S27S $60 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S29S $60 PCP Copay + $0 virtual care from Teladoc Health � + Adult Dental - EPO
- UHC Bronze Copay Focus (No Referrals) - EPO
- UHC Bronze Copay Focus+ (Dental + Vision, No Referrals) - EPO
- UHC Bronze Standard (No Referrals) - EPO
- UHC Bronze Value (No Referrals) - EPO
- UHC Gold Advantage (No Referrals) - EPO
- UHC Gold Advantage+ (Dental + Vision, No Referrals) - EPO
- UHC Gold Copay Focus (No Referrals) - EPO
- UHC Gold Standard (No Referrals) - EPO
- UHC Silver Advantage (No Referrals) - EPO
- UHC Silver Advantage+ (Dental + Vision, No Referrals) - EPO
- UHC Silver Copay Focus (No Referrals) - EPO
- UHC Silver Standard (No Referrals) - EPO
- EssentialSmile Tennessee - Total Care - EPO
- Smile Now Tennessee - No Waiting Period PPO - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Breyocha Dewalt is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 38104 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $81.53
- Minimum New Patient Price $52.64
- Maximum New Patient Price $160.89
- Average New Patient Copayment $20.38
- Minimum New Patient Copayment $13.16
- Maximum New Patient Copayment $40.22
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $93.6
- Minimum Established Patient Price $16.72
- Maximum Established Patient Price $131.41
- Average Established Patient Copayment $23.4
- Minimum Established Patient Copayment $4.18
- Maximum Established Patient Copayment $32.85
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 4 | 8 | 0 | 4 | 5 | 2 | 6 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 8 | 8 | 0 | 4 | 10 | 2 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 8 + 8 + 0 + 4 + 1 + 0 + 2 + 1 + 2 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1548045263 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
STEVAN I HIMMELSTEIN MD
Internal Medicine
(Interventional Cardiology)
1211 UNION AVE STE 965
MEMPHIS, TN
ZIP 38104
JOHN LYNN JEFFERIES JR. M.D.
Internal Medicine
(Cardiovascular Disease)
1211 UNION AVE STE 965
MEMPHIS, TN
ZIP 38104
TIMOTHY D WOODS MD
Internal Medicine
(Cardiovascular Disease)
1211 UNION AVE STE 965
MEMPHIS, TN
ZIP 38104
EMILY PAIGE PETERS NP
Nurse Practitioner
(Family)
1211 UNION AVE STE 965
MEMPHIS, TN
ZIP 38104
LAURA MARIE NATHAN NP-C
Nurse Practitioner
(Family)
1211 UNION AVE STE 965
MEMPHIS, TN
ZIP 38104
IFEOMA UGONABO MD
Internal Medicine
(Cardiovascular Disease)
1211 UNION AVE STE 965
MEMPHIS, TN
ZIP 38104
DR. BASIL AL-SABEQ
Internal Medicine
(Cardiovascular Disease)
1211 UNION AVE STE 965
MEMPHIS, TN
ZIP 38104
GABRIELLE MAYS VICTOR FNP-C
Nurse Practitioner
(Family)
1211 UNION AVE STE 965
MEMPHIS, TN
ZIP 38104
KIMBERLY T JONES NP-C
Nurse Practitioner
(Family)
1211 UNION AVE STE 965
MEMPHIS, TN
ZIP 38104
DANIEL GENE BINFORD MSN, APRN, FNP-C
Nurse Practitioner
(Family)
1211 UNION AVE STE 965
MEMPHIS, TN
ZIP 38104
DR. DEEPIKA NARASIMHA M.D.
Internal Medicine
(Interventional Cardiology)
1211 UNION AVE STE 965
MEMPHIS, TN
ZIP 38104
DR. ADDIS ALEMU ASFAW M.D.
Internal Medicine
(Cardiovascular Disease)
1211 UNION AVE STE 965
MEMPHIS, TN
ZIP 38104
DR. UZOMA IBEBUOGU M.D
Internal Medicine
(Interventional Cardiology)
1211 UNION AVE STE 965
MEMPHIS, TN
ZIP 38104
DR. OLUWASEUN AYODELE AKINSEYE M.D.
Internal Medicine
(Interventional Cardiology)
1211 UNION AVE STE 965
MEMPHIS, TN
ZIP 38104
MICHELLE COLETTE GAMMILL PA-C
Physician Assistant
(Medical)
1211 UNION AVE STE 965
MEMPHIS, TN
ZIP 38104
EHTESHAM UL HAQ MD
Internal Medicine
(Interventional Cardiology)
1211 UNION AVE STE 965
MEMPHIS, TN
ZIP 38104
DR. SUSHANT SHARAD KHAIRE M.D.
Internal Medicine
(Interventional Cardiology)
1211 UNION AVE STE 965
MEMPHIS, TN
ZIP 38104
AMY RENEE CAMPBELL APRN
Nurse Practitioner
1211 UNION AVE STE 965
MEMPHIS, TN
ZIP 38104
CHANDRA CELESTINA ARNOLD PA
Physician Assistant
1211 UNION AVE STE 965
MEMPHIS, TN
ZIP 38104
ISAAC BRENDAN RHEA M.D.
Internal Medicine
(Cardiovascular Disease)
1211 UNION AVE STE 965
MEMPHIS, TN
ZIP 38104
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1548045263, enumerated as an "individual" on August 30, 2023.
The provider is located at 1211 UNION AVE STE 965 MEMPHIS, TN 38104 and the phone number is (901) 435-8550.
Nurse Practitioner with taxonomy code 363LA2100X and a focus in Acute Care.
The provider might be accepting Accepts: BlueCross BlueShield of Tennessee and. Please consult your insurance carrier or call the provider to verify.
