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KELLY NICOLE BREAUX MD
NPI 1568967180
Psychiatry & Neurology - Neurology in Baton Rouge, LA

Active since March 26, 2018PECOS EnrolledAccepts Medicare Assignment
10101 PARK ROWE AVE STE 200, BATON ROUGE, LA 70810(225) 769-2200(833) 756-2680 Get Directions Write a Review

NPPES record last updated: July 29, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 29, 2024, Apr 28, 2022, Mar 26, 2018 (3 updates tracked since 2018).

About Kelly Nicole Breaux Md NPPES

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

KELLY NICOLE BREAUX MD (NPI 1568967180) is an individual neurology provider in Baton Rouge, Louisiana, licensed in Louisiana (343313) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with Lane Regional Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1568967180
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameKELLY NICOLE BREAUXCredential: MD
Location Address10101 PARK ROWE AVE STE 200Baton Rouge, LA 70810-1685
Mailing Address10101 Park Rowe Ave Ste 200Baton Rouge, LA 70810-1685 · (225) 769-2200 · Fax (833) 756-2680
Phone(225) 769-2200
Fax(833) 756-2680
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 26, 2018
Last NPPES UpdateJuly 29, 20243 updates tracked since enumeration
NPPES CertifiedJuly 29, 2024
✔ NPI 1568967180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in LA · 343313
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
10101 PARK ROWE AVE STE 200, Baton Rouge, LA 70810
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, HMO Louisiana.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

Kelly Nicole Breaux Md 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 ID6507247285
PECOS Enrollment IDI20240824000074
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 4

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
44 services43 patients
Measurement of brain wave activity (eeg), awake and drowsy 95816
Measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.
25 services24 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
19 services16 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
16 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Lane Regional Medical Center

Acute Care Hospitals · Zachary, LA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number190020
Location6300 Main StreetZachary, LA 70791 · E. Baton Rouge County
Emergency services Birthing friendly

Our Lady Of The Lake Regional Medical Center

Acute Care Hospitals · Baton Rouge, LA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number190064
Location5000 Hennessy BlvdBaton Rouge, LA 70808 · E. Baton Rouge County
Emergency services

Baton Rouge General Medical Center

Acute Care Hospitals · Baton Rouge, LA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190065
Location8585 Picardy AveBaton Rouge, LA 70809 · E. Baton Rouge County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70810 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
$124.60 typical visit price
range $53.43 – $164.73
Typical copayment $31.15 (range $13.35 – $41.18)
Most-billed visit code 99204
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

RICHARD W. FOSTER M.D.
Radiology (Diagnostic Radiology)
10101 PARK ROWE AVE STE 200
BATON ROUGE, LA 70810
East Baton Rouge Parish (225) 769-2200
DANIELLE ANTOINETTE LABORDE
Physician Assistant
10101 PARK ROWE AVE STE 200
BATON ROUGE, LA 70810
East Baton Rouge Parish (225) 769-2200
STEPHANIE A FLETCHER P.T.
Physical Therapist
10101 PARK ROWE AVE STE 200
BATON ROUGE, LA 70810
East Baton Rouge Parish (225) 769-2200
CORINNE BLANCHARD PA
Physician Assistant
10101 PARK ROWE AVE STE 200
BATON ROUGE, LA 70810
East Baton Rouge Parish (225) 769-2200
MEHDI SOLTANI MD
Psychiatry & Neurology (Neurology)
10101 PARK ROWE AVE STE 200
BATON ROUGE, LA 70810
East Baton Rouge Parish (225) 769-2200
KULDEEP V. PATEL MD
Psychiatry & Neurology (Neurology)
10101 PARK ROWE AVE STE 200
BATON ROUGE, LA 70810
East Baton Rouge Parish (225) 769-2200
DANIEL CHRISTOPHER BOUDREAUX PA-C
Physician Assistant
10101 PARK ROWE AVE STE 200
BATON ROUGE, LA 70810
East Baton Rouge Parish (225) 769-2200
BRANDON GERARD GAYNOR
Neurological Surgery
10101 PARK ROWE AVE STE 200
BATON ROUGE, LA 70810
East Baton Rouge Parish (225) 769-2200

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 Kelly Breaux's NPI number?

The NPI number for Kelly Breaux is 1568967180. It was assigned to this individual provider in the NPPES registry on March 26, 2018.

Where is Kelly Breaux located?

Kelly Breaux practices at 10101 Park Rowe Ave Ste 200, Baton Rouge, LA 70810. The listed phone number is (225) 769-2200.

What is Kelly Breaux's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Kelly Breaux enrolled in Medicare?

Yes. Kelly Breaux 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.

What insurance does Kelly Breaux accept?

Health plans from AmeriHealth Caritas Next and HMO Louisiana list Kelly Breaux 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 Kelly Breaux affiliated with any hospitals?

According to CMS data, Kelly Breaux is affiliated with Lane Regional Medical Center, Our Lady Of The Lake Regional Medical Center and Baton Rouge General Medical Center.

When was this NPI record last updated?

The NPPES record for Kelly Breaux was last updated on July 29, 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.