BREANNE KONICHEK
NPI 1619568276
Occupational Therapist in Roswell, NM
About Breanne Konichek NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BREANNE KONICHEK (NPI 1619568276) is an individual occupational therapist in Roswell, New Mexico, licensed in New Mexico (OT-2025-0198) and active in the NPI registry since January 2021. She maintains a secondary practice location in Hobbs and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
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
Breanne Konichek 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.
Medicare Billing Reassignment
Medicare enrollment records show Breanne Konichek reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Roswell, NM 88201
- Reassigned Medicare billing, New Mexico enrollment
- 6 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.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROSWELL, NM 88201
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 Breanne Konichek's NPI number?
The NPI number for Breanne Konichek is 1619568276. It was assigned to this individual provider in the NPPES registry on January 27, 2021.
Where is Breanne Konichek located?
Breanne Konichek practices at 805 N Richardson Ave, Roswell, NM 88201. The listed phone number is (575) 622-6260.
What is Breanne Konichek's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Breanne Konichek enrolled in Medicare?
Yes. Breanne Konichek 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 organization bills Medicare for Breanne Konichek's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Breanne Konichek reassigns Medicare benefits to Sentry Safety And Physical Therapy Specialists, LLC (Roswell, NM). The 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 Breanne Konichek's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Breanne Konichek was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.