BREEANNA MCCARTHY AGPCNP-BC
NPI 1609252410
Nurse Practitioner - Gerontology in Woodbury, MN

Active since August 04, 2015PECOS EnrolledAccepts Medicare Assignment
1825 WOODWINDS DR, WOODBURY, MN 55125(651) 232-6700 Get Directions Write a Review

NPPES record last updated: May 10, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 10, 2022, Jan 22, 2019, Aug 30, 2018 and 1 more (4 updates tracked since 2015).

About Breeanna Mccarthy Agpcnp-bc NPPES

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

BREEANNA MCCARTHY AGPCNP-BC (NPI 1609252410) is an individual gerontology provider in Woodbury, Minnesota, licensed in Minnesota (CNP 4046) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS, is affiliated with Park Nicollet Methodist Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1609252410
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameBREEANNA MCCARTHYCredential: AGPCNP-BC
Location Address1825 WOODWINDS DRWoodbury, MN 55125-2202
Mailing Address1825 Woodwinds DrWoodbury, MN 55125-2202 · (651) 232-6700
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 4, 2015
Last NPPES UpdateMay 10, 20224 updates tracked since enumeration
NPPES CertifiedMay 10, 2022
✔ NPI 1609252410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in MN · CNP 4046
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License CNP 4046 (MN)
1825 WOODWINDS DR, Woodbury, MN 55125

Secondary Practice Locations 2

Location 11406 6th Ave NSaint Cloud, MN 56303-1900 · Phone (320) 251-2700
Location 24801 Veterans DrSaint Cloud, MN 56303-2015 · Phone (320) 252-1670

Accepted 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

Breeanna Mccarthy Agpcnp-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 ID5799084265
PECOS Enrollment IDI20180915000012
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

8

Medicare enrollment records show Breeanna Mccarthy reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinic/Center
1825 WOODWINDS DR
Woodbury, MN 55125
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,361 clinicians in this Medicare group
General Acute Care Hospital
1925 WOODWINDS DR
Woodbury, MN 55125
  • Reassigned Medicare billing, Minnesota enrollment
  • 955 clinicians in this Medicare group
Multi-Specialty
411 STAGELINE RD # 150
Hudson, WI 54016
  • Reassigned Medicare billing, Wisconsin enrollment
  • 232 clinicians in this Medicare group
General Acute Care Hospital
2450 RIVERSIDE AVE, OUTREACH LAB DEPARTMENT
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 4,038 clinicians in this Medicare group
Family Medicine
1000 NICOLLET MALL, TPS 260
Minneapolis, MN 55403
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,527 clinicians in this Medicare group
Critical Access
535 HOSPITAL ROAD
New Richmond, WI 54017
  • Reassigned Medicare billing, Wisconsin enrollment
  • 357 clinicians in this Medicare group
Critical Access
265 GRIFFIN ST E
Amery, WI 54001
  • Reassigned Medicare billing, Wisconsin enrollment
  • 348 clinicians in this Medicare group
Nurse Practitioner
424 CHURCH ST STE 2600
Nashville, TN 37219
  • Reassigned Medicare billing, Minnesota enrollment
  • 126 clinicians in this Medicare group

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 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.

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.
24 services23 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
23 services21 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
16 services15 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Park Nicollet Methodist Hospital

Acute Care Hospitals · Saint Louis Park, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240053
Location6500 Excelsior BlvdSaint Louis Park, MN 55426 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55125 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers14 claims46 services$6.02 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers22 claims22 services$193.01 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Advanced Practice Midwife
1825 WOODWINDS DR
WOODBURY, MN 55125
Physical Therapist
1825 WOODWINDS DR, SUITE 100
WOODBURY, MN 55125
Physical Therapist
1825 WOODWINDS DR
WOODBURY, MN 55125
Physical Therapist
1825 WOODWINDS DR, #100
WOODBURY, MN 55125
Nurse Practitioner (Pediatrics)
1825 WOODWINDS DR
WOODBURY, MN 55125
Physical Therapist
1825 WOODWINDS DR
WOODBURY, MN 55125
Specialist/Technologist (Athletic Trainer)
1825 WOODWINDS DR
WOODBURY, MN 55125
Nurse Practitioner (Family)
1825 WOODWINDS DR
WOODBURY, MN 55125

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 Breeanna Mccarthy's NPI number?

The NPI number for Breeanna Mccarthy is 1609252410. It was assigned to this individual provider in the NPPES registry on August 4, 2015.

Where is Breeanna Mccarthy located?

Breeanna Mccarthy practices at 1825 Woodwinds Dr, Woodbury, MN 55125. The listed phone number is (651) 232-6700.

What is Breeanna Mccarthy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Breeanna Mccarthy enrolled in Medicare?

Yes. Breeanna Mccarthy 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 Breeanna Mccarthy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Breeanna Mccarthy reassigns Medicare benefits to 8 organizations: Healtheast Medical Research Institute (Woodbury, MN), Healtheast Woodwinds Hospital (Woodbury, MN), Group Health, Inc. (Hudson, WI), Fairview Health Services (Minneapolis, MN), Park Nicollet Clinic (Minneapolis, MN) and 3 more organizations, listed in the Medicare section above. 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 Breeanna Mccarthy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Breeanna Mccarthy accept?

Health plans from Anthem Blue Cross and Blue Shield list Breeanna Mccarthy 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 Breeanna Mccarthy affiliated with any hospitals?

According to CMS data, Breeanna Mccarthy is affiliated with Park Nicollet Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Breeanna Mccarthy was last updated on May 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.