AMANDA ANNE BREEDING FNP-C
NPI 1679437305
Nurse Practitioner - Family in Belleville, IL

Active since December 16, 2025PECOS Enrolled
2801 W MAIN ST, BELLEVILLE, IL 62226(618) 416-2018 Get Directions Write a Review

NPPES record last updated: December 16, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Amanda Anne Breeding Fnp-c NPPES

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

AMANDA ANNE BREEDING FNP-C (NPI 1679437305) is an individual family provider in Belleville, Illinois, licensed in Illinois (041457427) and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1679437305
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAMANDA ANNE BREEDINGCredential: FNP-C
Location Address2801 W MAIN STBelleville, IL 62226-6646
Mailing Address2801 W Main StBelleville, IL 62226-6646 · (618) 416-2018
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 16, 2025
NPPES CertifiedDecember 16, 2025
✔ NPI 1679437305 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 IL · 041457427
2801 W MAIN ST, Belleville, IL 62226

Other Names 1

Former Name (1)Amanda Anne Gavin

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Anne Breeding Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7416437819
PECOS Enrollment IDI20260216000897
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

5

Medicare enrollment records show Amanda Breeding reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
2801 W MAIN ST
Belleville, IL 62226
  • Reassigned Medicare billing, Illinois enrollment
  • 53 clinicians in this Medicare group
Urgent Care
2861 MADISON AVE
Granite City, IL 62040
  • Reassigned Medicare billing, Illinois enrollment
  • 54 clinicians in this Medicare group
Family Medicine
901 ILLINOIS ROUTE 3
Waterloo, IL 62298
  • Reassigned Medicare billing, Illinois enrollment
  • 51 clinicians in this Medicare group
Family Medicine
211 MADISON AVE
Wood River, IL 62095
  • Reassigned Medicare billing, Illinois enrollment
  • 40 clinicians in this Medicare group
Family Medicine
1417 WASHINGTON AVE
Alton, IL 62002
  • Reassigned Medicare billing, Illinois enrollment
  • 50 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62226 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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 2

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

Nurse Practitioner (Family)
2801 W MAIN ST
BELLEVILLE, IL 62226
Family Medicine
2801 W MAIN ST
BELLEVILLE, IL 62226

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 Amanda Breeding's NPI number?

The NPI number for Amanda Breeding is 1679437305. It was assigned to this individual provider in the NPPES registry on December 16, 2025. The provider is also known as Amanda Anne Gavin.

Where is Amanda Breeding located?

Amanda Breeding practices at 2801 W Main St, Belleville, IL 62226. The listed phone number is (618) 416-2018.

What is Amanda Breeding's specialty?

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

Is Amanda Breeding enrolled in Medicare?

Yes. Amanda Breeding is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Amanda Breeding's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Breeding reassigns Medicare benefits to 5 organizations: Belleville Urgent Care Walk-In Clinic (Belleville, IL), Granite City Urgent Care Walk-In Clinic (Granite City, IL), Waterloo Urgent Care Walk In Clinic Company (Waterloo, IL), Wood River Urgent Care And Walk In Clinic Inc (Wood River, IL) and Alton Urgent Care Walk In Clinic Company (Alton, IL). Each 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 Amanda Breeding'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 Amanda Breeding was last updated on December 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.