ERIKA L BREITINGER ACNP-BC
NPI 1609219427
Nurse Practitioner - Acute Care in New York, NY

Active since April 11, 2013PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
462 1ST AVE, 10 S 1, NEW YORK, NY 10016(516) 410-9330 Get Directions Write a Review

NPPES record last updated: April 11, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Erika L Breitinger Acnp-bc NPPES

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

ERIKA L BREITINGER ACNP-BC (NPI 1609219427) is an individual acute care provider in New York, New York, licensed in New York (43430685) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, is affiliated with Nyu Langone Hospitals, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1609219427
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameERIKA L BREITINGERCredential: ACNP-BC
Location Address462 1ST AVE, 10 S 1New York, NY 10016-9196
Mailing Address462 1st Ave, 10 S 1New York, NY 10016-9196 · (516) 410-9330
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateApril 11, 2013
NPI 1609219427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in NY · 43430685
462 1ST AVE, New York, NY 10016

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

Erika L Breitinger Acnp-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 ID8123338399
PECOS Enrollment IDI20181030000315
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

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Follow-up hospital inpatient care per day, typically 25 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
19 services17 patients

Hospital Affiliations CMS Care Compare

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

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330214
Location550 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10016 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

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.

Anesthesiology
462 1ST AVE
NEW YORK, NY 10016
Internal Medicine
462 1ST AVE, BELLEVUE AMBULATORY CARE PAVILION 2ND FLOOR
NEW YORK, NY 10016
Radiology (Diagnostic Radiology)
462 1ST AVE
NEW YORK, NY 10016
Internal Medicine (Pulmonary Disease)
462 1ST AVE, 7 NORTH 24
NEW YORK, NY 10016
Physician Assistant (Surgical)
462 1ST AVE, 10 SOUTH 1
NEW YORK, NY 10016
Internal Medicine (Endocrinology, Diabetes & Metabolism)
462 1ST AVE, BELLEVUE HOSPITAL DEPT OF MEDICINE NBV 16SOUTH12
NEW YORK, NY 10016
Social Worker (Clinical)
462 1ST AVE, CD745
NEW YORK, NY 10016
Obstetrics & Gynecology
462 1ST AVE
NEW YORK, NY 10016

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609219427, enumerated as an "individual" on April 11, 2013.

The provider is located at 462 1ST AVE 10 S 1 NEW YORK, NY 10016 and the phone number is (516) 410-9330.

Nurse Practitioner with taxonomy code 363LA2100X and a focus in Acute Care.

Erika Breitinger is affiliated with: NYU LANGONE HOSPITALS.