BREANNE MARIE GOULD PA-C
NPI 1649058058
Physician Assistant in Saint Louis, MO
About Breanne Marie Gould Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BREANNE MARIE GOULD PA-C (NPI 1649058058) is an individual physician assistant in Saint Louis, Missouri, licensed in Missouri (2025008969) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted 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
Breanne Marie Gould Pa-c 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63128 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SAINT LOUIS, MO 63128
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 Gould's NPI number?
The NPI number for Breanne Gould is 1649058058. It was assigned to this individual provider in the NPPES registry on September 18, 2023. The provider is also known as Breanne Martin Pa-C.
Where is Breanne Gould located?
Breanne Gould practices at 10010 Kennerly Rd, Saint Louis, MO 63128. The listed phone number is (314) 525-1906.
What is Breanne Gould's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Breanne Gould enrolled in Medicare?
Yes. Breanne Gould 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 Breanne Gould accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Ambetter of Tennessee and 1 other insurer list Breanne Gould 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.
When was this NPI record last updated?
The NPPES record for Breanne Gould was last updated on October 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.
# Breanne Marie Gould, PA-C · NPI 1649058058
Physician Assistant physician in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since September 18, 2023.
## Identity
- **NPI:** 1649058058 (Entity type: Individual)
- **Enumerated:** September 18, 2023
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 2025008969 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 10010 KENNERLY RD, Saint Louis, MO 63128-2106
- **Phone:** (314) 525-1906
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** October 29, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1649058058) · Data from the CMS NPPES public registry.