BREANNE KOWALSKI FNP-C
NPI 1669063814
Nurse Practitioner - Family in Merrillville, IN

Active since January 31, 2021PECOS EnrolledAccepts Medicare Assignment
5043 E 81ST AVE, MERRILLVILLE, IN 46410(219) 707-5276 Get Directions Write a Review

NPPES record last updated: October 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 9, 2023, Dec 3, 2021, Jan 31, 2021 (3 updates tracked since 2021).

About Breanne Kowalski Fnp-c NPPES

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

BREANNE KOWALSKI FNP-C (NPI 1669063814) is an individual family provider in Merrillville, Indiana, licensed in Indiana (F01211249) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS, is affiliated with Franciscan Health Crown Point, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1669063814
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBREANNE KOWALSKICredential: FNP-C
Location Address5043 E 81ST AVEMerrillville, IN 46410-5912
Mailing Address5043 E 81st AveMerrillville, IN 46410-5912 · (219) 707-5276
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 31, 2021
Last NPPES UpdateOctober 9, 20233 updates tracked since enumeration
NPPES CertifiedOctober 9, 2023
NPI 1669063814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IN · F01211249
5043 E 81ST AVE, Merrillville, IN 46410

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 Kowalski Fnp-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.

PECOS PAC ID5799184271
PECOS Enrollment IDI20210603002029
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 8

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.
119 services106 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
100 services50 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.
81 services72 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
65 services63 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
49 services41 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
35 services35 patients

Hospital Affiliations CMS Care Compare

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

Franciscan Health Crown Point

Acute Care Hospitals · Crown Point, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150126
Location12750 Saint Francis DriveCrown Point, IN 46307 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46410 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 7

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

Nurse Practitioner (Family)
5043 E 81ST AVE
MERRILLVILLE, IN 46410
Nurse Practitioner (Family)
5043 E 81ST AVE
MERRILLVILLE, IN 46410
Clinic/Center (Urgent Care)
5043 E 81ST AVE
MERRILLVILLE, IN 46410
Nurse Practitioner (Family)
5043 E 81ST AVE
MERRILLVILLE, IN 46410
Physician Assistant
5043 E 81ST AVE
MERRILLVILLE, IN 46410
Physician Assistant
5043 E 81ST AVE
MERRILLVILLE, IN 46410
Nurse Practitioner (Family)
5043 E 81ST AVE
MERRILLVILLE, IN 46410

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 Kowalski's NPI number?

The NPI number for Breanne Kowalski is 1669063814. It was assigned to this individual provider in the NPPES registry on January 31, 2021.

Where is Breanne Kowalski located?

Breanne Kowalski practices at 5043 E 81st Ave, Merrillville, IN 46410. The listed phone number is (219) 707-5276.

What is Breanne Kowalski's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Breanne Kowalski enrolled in Medicare?

Yes. Breanne Kowalski 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 Kowalski accept?

Health plans from CareSource list Breanne Kowalski 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 Breanne Kowalski affiliated with any hospitals?

According to CMS data, Breanne Kowalski is affiliated with Franciscan Health Crown Point.

When was this NPI record last updated?

The NPPES record for Breanne Kowalski was last updated on October 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.