BREANNA KILMARTIN LCSW
NPI 1720679046
Social Worker - Clinical in Wasilla, AK

Active since January 29, 2021PECOS EnrolledAccepts Medicare Assignment
1001 S KNIK GOOSE BAY RD, WASILLA, AK 99654(907) 631-6100 Get Directions Write a Review

NPPES record last updated: January 6, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 6, 2026, Nov 5, 2025, Oct 16, 2023 and 1 more (4 updates tracked since 2021).

About Breanna Kilmartin Lcsw NPPES

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

BREANNA KILMARTIN LCSW (NPI 1720679046) is an individual clinical provider in Wasilla, Alaska and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1720679046
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameBREANNA KILMARTINCredential: LCSW
Location Address1001 S KNIK GOOSE BAY RDWasilla, AK 99654-8083
Mailing Address6129 N Canidae PlWasilla, AK 99654-9418 · (907) 982-7564
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 29, 2021
Last NPPES UpdateJanuary 6, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2026
✔ NPI 1720679046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1001 S KNIK GOOSE BAY RD, Wasilla, AK 99654

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 Kilmartin Lcsw 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 ID3476903634
PECOS Enrollment IDI20231229001775
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

2

Medicare enrollment records show Breanna Kilmartin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community/Behavioral Health
1001 S KNIK GOOSE BAY RD
Wasilla, AK 99654
  • Reassigned Medicare billing, Texas enrollment
  • 459 clinicians in this Medicare group
General Acute Care Hospital
4315 DIPLOMACY DR
Anchorage, AK 99508
  • Reassigned Medicare billing, Texas enrollment
  • 1,373 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 99654 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
$0.00 typical visit price
range $71.33 – $222.64
Typical copayment $0.00 (range $17.83 – $55.66)
Most-billed visit code NA
Established Patient
$90.40 typical visit price
range $21.84 – $181.48
Typical copayment $22.60 (range $5.46 – $45.37)
Most-billed visit code 99213
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 20

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

Community/Behavioral Health
1001 S KNIK GOOSE BAY RD
WASILLA, AK 99654
Family Medicine
1001 S KNIK GOOSE BAY RD
WASILLA, AK 99654
Dietitian, Registered
1001 S KNIK GOOSE BAY RD
WASILLA, AK 99654
Nurse Practitioner (Family)
1001 S KNIK GOOSE BAY RD
WASILLA, AK 99654
Physician Assistant
1001 S KNIK GOOSE BAY RD, PCC WEST
WASILLA, AK 99654
Dietitian, Registered
1001 S KNIK GOOSE BAY RD
WASILLA, AK 99654
Family Medicine
1001 S KNIK GOOSE BAY RD
WASILLA, AK 99654
Hearing Aid Equipment
1001 S KNIK GOOSE BAY RD
WASILLA, AK 99654

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 Kilmartin's NPI number?

The NPI number for Breanna Kilmartin is 1720679046. It was assigned to this individual provider in the NPPES registry on January 29, 2021.

Where is Breanna Kilmartin located?

Breanna Kilmartin practices at 1001 S Knik Goose Bay Rd, Wasilla, AK 99654. The listed phone number is (907) 631-6100.

What is Breanna Kilmartin's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Breanna Kilmartin enrolled in Medicare?

Yes. Breanna Kilmartin 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 organizations bill Medicare for Breanna Kilmartin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Breanna Kilmartin reassigns Medicare benefits to 2 organizations: Southcentral Foundation (Wasilla, AK) and Alaska Native Tribal Health Consortium (Anchorage, AK). 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 Breanna Kilmartin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Breanna Kilmartin accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Breanna Kilmartin 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 Breanna Kilmartin was last updated on January 6, 2026. 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.