MRS. STACEY BRESHEARS MS, RD, LD, CDCES
NPI 1619342573
Dietitian, Registered in Honolulu, HI

Q: What is Stacey Breshears's NPI number?

The NPI number for Stacey Breshears is 1619342573. It was assigned to this individual provider in the NPPES registry on December 3, 2015.

Q: What is Stacey Breshears's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Stacey Breshears was last updated on July 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.

Active since December 03, 2015Accepts Medicare Assignment

4819 KILAUEA AVE STE 7, HONOLULU, HI 96816(808) 620-5553(833) 672-3405 Get Directions Write a Review

NPPES record last updated: July 4, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 5, 2024, Mar 1, 2023, Oct 14, 2022 and 3 more (6 updates tracked since 2015).

On this page

About Mrs. Stacey Breshears Ms, Rd, Ld, Cdces NPPES

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

MRS. STACEY BRESHEARS MS, RD, LD, CDCES (NPI 1619342573) is an individual dietitian, registered in Honolulu, Hawaii, licensed in Hawaii (202-LD) and active in the NPI registry since December 2015. She is a graduate of Loma Linda University School Of Medicine (2015).

NPPES Registry Identity

NPI1619342573

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameMRS. STACEY BRESHEARSCredential: MS, RD, LD, CDCES

Location Address4819 KILAUEA AVE STE 7Honolulu, HI 96816-5712

Mailing Address4819 Kilauea Ave Ste 7Honolulu, HI 96816-5712 · (808) 620-5553 · Fax (833) 672-3405

Phone(808) 620-5553

Fax(833) 672-3405

Sole ProprietorNo

Medical School CMSLoma Linda University School Of MedicineGraduated 2015

Enumeration DateDecember 3, 2015

Last NPPES UpdateJuly 4, 20266 updates tracked since enumeration

NPPES CertifiedJuly 4, 2026

✔ NPI 1619342573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in HI · 202-LD

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

4819 KILAUEA AVE STE 7, Honolulu, HI 96816

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMSA.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

Mrs. Stacey Breshears Ms, Rd, Ld, Cdces 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 ID9234431438

PECOS Enrollment IDI20190502000384

Medicare Billing Reassignments

Medicare enrollment records show Stacey Breshears reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

3E Wellness LLC

Same address

Dietitian, Registered

4819 KILAUEA AVE STE 7
Honolulu, HI 96816

Reassigned Medicare billing, Hawaii enrollment

NPI 1891410650 (808) 620-5553

American Indian Health & Services Corporation

2,479 mi

Federally Qualified Health Center (FQHC)

4141 STATE ST, SUITES A, B, C
Santa Barbara, CA 93110

Reassigned Medicare billing, California enrollment
23 clinicians in this Medicare group

NPI 1740222934 (805) 681-7356

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96816 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

$0.00 typical visit price

range $60.53 – $180.05

Typical copayment $0.00 (range $15.13 – $45.01)

Most-billed visit code NA

Established Patient

$105.65 typical visit price

range $20.09 – $147.56

Typical copayment $26.41 (range $5.02 – $36.89)

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 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNY NAKANO

Nurse Practitioner (Family)