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MALLORY BREIDERT FNP-BC
NPI 1548095334
Nurse Practitioner - Family in Stevens Point, WI

Active since September 03, 2024PECOS EnrolledAccepts Medicare Assignment
900 ILLINOIS AVE, STEVENS POINT, WI 54481(715) 346-5000 Get Directions Write a Review

NPPES record last updated: September 3, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mallory Breidert Fnp-bc NPPES

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

MALLORY BREIDERT FNP-BC (NPI 1548095334) is an individual family provider in Stevens Point, Wisconsin, licensed in Wisconsin (252198-30) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS, is affiliated with Aspirus Stevens Point Hospital & Clinics, Inc., and is a graduate of Other (2024).

NPPES Registry Identity

NPI1548095334
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMALLORY BREIDERTCredential: FNP-BC
Location Address900 ILLINOIS AVEStevens Point, WI 54481-3114
Mailing Address210 W Birdsall StWeyauwega, WI 54983-8916 · (574) 250-7802
Phone(715) 346-5000
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 3, 2024
NPPES CertifiedSeptember 1, 2024
✔ NPI 1548095334 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 WI · 252198-30
900 ILLINOIS AVE, Stevens Point, WI 54481
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Accepted Insurance

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

Mallory Breidert Fnp-bc 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 ID5193259737
PECOS Enrollment IDI20241105003121
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

5

Medicare enrollment records show Mallory Breidert reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.
Same address
Clinic/Center
824 ILLINOIS AVE
Stevens Point, WI 54481
  • Reassigned Medicare billing, Wisconsin enrollment
  • 935 clinicians in this Medicare group
NPI 1144991340 (715) 342-7725
Aspirus Stevens Point Hospital & Clinics, Inc.
0.1 mi
General Acute Care Hospital
900 ILLINOIS AVE
Stevens Point, WI 54481
  • Reassigned Medicare billing, Wisconsin enrollment
  • 619 clinicians in this Medicare group
NPI 1538112230 (715) 346-5000
Aspirus Merrill Hospital & Clinics, Inc.
46 mi
Critical Access
601 S CENTER AVE
Merrill, WI 54452
  • Reassigned Medicare billing, Wisconsin enrollment
  • 351 clinicians in this Medicare group
NPI 1124084678 (715) 536-5511
The Howard Young Medical Center, Inc.
95 mi
General Acute Care Hospital
240 MAPLE ST
Woodruff, WI 54568
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Howard Young Medical Center Inc Of Woodruff Wisconsin
  • 358 clinicians in this Medicare group
NPI 1134183171 (715) 356-8000
Aspirus Eagle River Hospital & Clinics, Inc.
98 mi
Critical Access
201 HOSPITAL RD
Eagle River, WI 54521
  • Reassigned Medicare billing, Wisconsin enrollment
  • 262 clinicians in this Medicare group
NPI 1346204385 (715) 479-7411

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

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 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.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Aspirus Stevens Point Hospital & Clinics, Inc.

Acute Care Hospitals · Stevens Point, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520002
Location900 Illinois AveStevens Point, WI 54481 · Portage County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54481 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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. FREDERICK AFARI ABROKWAH MD
Hospitalist
900 ILLINOIS AVE
STEVENS POINT, WI 54481
Portage County (715) 346-5000
EUGENE C BOMMERSBACH CRNA
Nurse Anesthetist, Certified Registered
900 ILLINOIS AVE
STEVENS POINT, WI 54481
Portage County (715) 346-5000
DR. DANIEL L. ONGNA M.D.
Radiology (Diagnostic Radiology)
900 ILLINOIS AVE
STEVENS POINT, WI 54481
Portage County (715) 346-5140
CHRISTINE R SWIECKI PT
Physical Therapist
900 ILLINOIS AVE
STEVENS POINT, WI 54481
Portage County (715) 346-5000
GARY LEE TAYLOR CRNA
Nurse Anesthetist, Certified Registered
900 ILLINOIS AVE
STEVENS POINT, WI 54481
Portage County (715) 346-5000
KAYCIE A BERHORST OT
Occupational Therapist
900 ILLINOIS AVE
STEVENS POINT, WI 54481
Portage County (716) 346-5528
MS. JANE LIND EUSTANCE M.S., CCC-SLP
Speech-Language Pathologist
900 ILLINOIS AVE
STEVENS POINT, WI 54481
Portage County (715) 346-5000
DOREEN A WENDLANDT FNP-C
Nurse Practitioner (Family)
900 ILLINOIS AVE
STEVENS POINT, WI 54481
Portage County (715) 346-5000

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 Mallory Breidert's NPI number?

The NPI number for Mallory Breidert is 1548095334. It was assigned to this individual provider in the NPPES registry on September 3, 2024.

Where is Mallory Breidert located?

Mallory Breidert practices at 900 Illinois Ave, Stevens Point, WI 54481. The listed phone number is (715) 346-5000.

What is Mallory Breidert's specialty?

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

Is Mallory Breidert enrolled in Medicare?

Yes. Mallory Breidert is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Mallory Breidert's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mallory Breidert reassigns Medicare benefits to 5 organizations: Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. (Stevens Point, WI), Aspirus Stevens Point Hospital & Clinics, Inc. (Stevens Point, WI), Aspirus Merrill Hospital & Clinics, Inc. (Merrill, WI), The Howard Young Medical Center, Inc. (Woodruff, WI) and Aspirus Eagle River Hospital & Clinics, Inc. (Eagle River, WI). 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 Mallory Breidert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mallory Breidert accept?

Health plans from Anthem Blue Cross and Blue Shield list Mallory Breidert 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.

Is Mallory Breidert affiliated with any hospitals?

According to CMS data, Mallory Breidert is affiliated with Aspirus Stevens Point Hospital & Clinics, Inc..

When was this NPI record last updated?

The NPPES record for Mallory Breidert was last updated on September 3, 2024. 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.