MICHELLE KAITLIN BREEN CNP
NPI 1669137063
Nurse Practitioner - Adult Health in West Columbia, SC

Q: What is Michelle Breen's NPI number?

The NPI number for Michelle Breen is 1669137063. It was assigned to this individual provider in the NPPES registry on November 2, 2021.

Q: What is Michelle Breen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Michelle Breen was last updated on March 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 November 02, 2021PECOS EnrolledAccepts Medicare Assignment

94.63/100

CMS Quality Rating

2728 SUNSET BLVD STE 300, WEST COLUMBIA, SC 29169(803) 744-4900(803) 744-4938 Get Directions Write a Review

NPPES record last updated: March 18, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 18, 2026, Nov 13, 2025, May 15, 2023 and 1 more (4 updates tracked since 2021).

On this page

About Michelle Kaitlin Breen Cnp NPPES

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

MICHELLE KAITLIN BREEN CNP (NPI 1669137063) is an individual adult health provider in West Columbia, South Carolina, licensed in South Carolina (30346) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS, is affiliated with Lexington Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1669137063

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameMICHELLE KAITLIN BREENCredential: CNP

Location Address2728 SUNSET BLVD STE 300West Columbia, SC 29169-4815

Mailing AddressPo Box 6069West Columbia, SC 29171-6069 · (803) 744-4900 · Fax (803) 744-4938

Phone(803) 744-4900

Fax(803) 744-4938

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateNovember 2, 2021

Last NPPES UpdateMarch 18, 20264 updates tracked since enumeration

NPPES CertifiedMarch 18, 2026

✔ NPI 1669137063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in SC · 30346

2728 SUNSET BLVD STE 300, West Columbia, SC 29169

Open in Google Maps ↗

Secondary Practice Locations 3

Location 15115 Forest Dr Ste 200Columbia, SC 29206-4934 · Phone (803) 744-4900 · Fax (803) 314-5571

Location 2811 W Main St Ste 209Lexington, SC 29072-2500 · Phone (803) 314-9729 · Fax (803) 314-9721

Location 33016 Longtown Commons Dr Ste 300Columbia, SC 29229-7864 · Phone (803) 744-4900 · Fax (803) 744-4935

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, CareSource, UnitedHealthcare.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

Michelle Kaitlin Breen Cnp 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 ID446644009

PECOS Enrollment IDI20251210000646

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

Medicare enrollment records show Michelle Breen reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lexington Health Inc

Same address

Cardiovascular Disease

2728 SUNSET BLVD STE 300
West Columbia, SC 29169

Reassigned Medicare billing, South Carolina enrollment
1,219 clinicians in this Medicare group

NPI 1083211312 (803) 744-4940

Emergency Medicine Specialists, Inc.

418 mi

Emergency Medicine

6147 STATE ROUTE 122
Middletown, OH 45005

Reassigned Medicare billing, Ohio enrollment
151 clinicians in this Medicare group

NPI 1194215111 (513) 261-3410

Nextcare Arizona LLC

1,768 mi

Urgent Care

914 N SCOTTSDALE RD STE 104
Tempe, AZ 85288

Reassigned Medicare billing, Arizona enrollment
367 clinicians in this Medicare group

NPI 1043371826 (480) 924-8382

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 2

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.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

24 services24 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

17 services17 patients

Hospital Affiliations CMS Care Compare

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

Lexington Medical Center

Acute Care Hospitals · West Columbia, SC

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number420073

Location2720 Sunset BlvdWest Columbia, SC 29169 · Lexington County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29169 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.63/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

90.64

Improvement Activities

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.

DR. ROBERT ANTHONY LEONARDI M.D.

Internal Medicine (Interventional Cardiology)