KATHERINE MARIE BREEZLEY
NPI 1780067033
Nurse Practitioner - Gerontology in Edina, MN
About Katherine Marie Breezley NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHERINE MARIE BREEZLEY (NPI 1780067033) is an individual gerontology provider in Edina, Minnesota, licensed in Minnesota (CNP 3969) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS, is affiliated with M Health Fairview University Of Mn, and is a graduate of University Of Minnesota Medical School (2015).
NPPES Registry Identity
Specialties & Licenses 2
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
Katherine Marie Breezley 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.
Medicare Billing Reassignment
Medicare enrollment records show Katherine Breezley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Edina, MN 55435
- Reassigned Medicare billing, Minnesota enrollment
- 2,302 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 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
M Health Fairview University Of Mn
Acute Care Hospitals · Minneapolis, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55435 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
EDINA, MN 55435
EDINA, MN 55435
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 Katherine Breezley's NPI number?
The NPI number for Katherine Breezley is 1780067033. It was assigned to this individual provider in the NPPES registry on July 6, 2015.
Where is Katherine Breezley located?
Katherine Breezley practices at 3400 W 66th St, Edina, MN 55435. The listed phone number is (952) 914-1781.
What is Katherine Breezley's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Katherine Breezley enrolled in Medicare?
Yes. Katherine Breezley 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 Katherine Breezley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Breezley reassigns Medicare benefits to Fairview Clinics (Edina, MN). 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 Katherine Breezley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Katherine Breezley accept?
Health plans from Sanford Health Plan list Katherine Breezley 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 Katherine Breezley affiliated with any hospitals?
According to CMS data, Katherine Breezley is affiliated with M Health Fairview University Of Mn.
When was this NPI record last updated?
The NPPES record for Katherine Breezley was last updated on July 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Katherine Marie Breezley · NPI 1780067033
Gerontology physician in Edina, Minnesota. Individual provider, active in the CMS NPPES registry since July 6, 2015.
## Identity
- **NPI:** 1780067033 (Entity type: Individual)
- **Enumerated:** July 6, 2015
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** CNP 3969 (Minnesota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3400 W 66TH ST, Edina, MN 55435-2111
- **Phone:** (952) 914-1781
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Fairview Clinics (NPI 1013383355, Edina, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Minnesota Medical School, class of 2015
## Record status
- **NPPES last updated:** July 7, 2015
---
Source: [NPI Profile](https://npiprofile.com/npi/1780067033) · Data from the CMS NPPES public registry.