Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BREANNA M SUTTER
NPI 1689246431
Nurse Practitioner in Cincinnati, OH

Active since July 12, 2021PECOS EnrolledAccepts Medicare Assignment
78.78/100
CMS Quality Rating
3188 BELLEVUE AVE, CINCINNATI, OH 45219(513) 584-1000 Get Directions Write a Review

NPPES record last updated: October 15, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 15, 2026, Aug 16, 2021, Jul 12, 2021 (3 updates tracked since 2021).

About Breanna M Sutter NPPES

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

BREANNA M SUTTER (NPI 1689246431) is an individual nurse practitioner in Cincinnati, Ohio, licensed in Ohio (APRN.CNP.0029535) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS, is affiliated with University Of Cincinnati Medical Center, Llc, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1689246431
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameBREANNA M SUTTER
Location Address3188 BELLEVUE AVECincinnati, OH 45219-2369
Mailing Address3200 Burnet AveCincinnati, OH 45229-3019 · (513) 585-6200 · Fax (513) 585-5511
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 12, 2021
Last NPPES UpdateOctober 15, 20263 updates tracked since enumeration
NPPES CertifiedOctober 15, 2026
✔ NPI 1689246431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in OH · APRN.CNP.0029535
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
3188 BELLEVUE AVE, Cincinnati, OH 45219

Other Names 1

Former Name (1)Breanna M Anderson

Accepted 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

Breanna M Sutter 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 ID6406251966
PECOS Enrollment IDI20210820001698
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 Reassignment

Medicare enrollment records show Breanna Sutter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
3188 BELLEVUE AVE
Cincinnati, OH 45219
  • Reassigned Medicare billing, Ohio enrollment
  • 2,038 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.

Areas of Expertise CMS Part B claims

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
26 services21 patients

Hospital Affiliations CMS Care Compare

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

University Of Cincinnati Medical Center, LLC

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360003
Location3188 Bellevue AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45219 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

78.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.42
Promoting Interoperability100
Improvement Activities40
Cost58.86

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.

Internal Medicine (Critical Care Medicine)
3188 BELLEVUE AVE
CINCINNATI, OH 45219
Emergency Medicine
3188 BELLEVUE AVE
CINCINNATI, OH 45219
Student in an Organized Health Care Education/Training Program
3188 BELLEVUE AVE
CINCINNATI, OH 45219
Physician Assistant
3188 BELLEVUE AVE
CINCINNATI, OH 45219
Anesthesiology
3188 BELLEVUE AVE
CINCINNATI, OH 45219
Physician Assistant
3188 BELLEVUE AVE
CINCINNATI, OH 45219
Internal Medicine
3188 BELLEVUE AVE
CINCINNATI, OH 45219
Nurse Anesthetist, Certified Registered
3188 BELLEVUE AVE
CINCINNATI, OH 45219

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 Breanna Sutter's NPI number?

The NPI number for Breanna Sutter is 1689246431. It was assigned to this individual provider in the NPPES registry on July 12, 2021. The provider is also known as Breanna M Anderson.

Where is Breanna Sutter located?

Breanna Sutter practices at 3188 Bellevue Ave, Cincinnati, OH 45219. The listed phone number is (513) 584-1000.

What is Breanna Sutter's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Breanna Sutter enrolled in Medicare?

Yes. Breanna Sutter 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 Breanna Sutter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Breanna Sutter reassigns Medicare benefits to University Of Cincinnati Physicians Company, LLC (Cincinnati, OH). 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 Breanna Sutter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Breanna Sutter accept?

Health plans from CareSource and Oscar Health Insurance list Breanna Sutter 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 Breanna Sutter affiliated with any hospitals?

According to CMS data, Breanna Sutter is affiliated with University Of Cincinnati Medical Center, LLC.

When was this NPI record last updated?

The NPPES record for Breanna Sutter was last updated on October 15, 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.