KATHERINE MARIE BREEZLEY
NPI 1780067033
Nurse Practitioner - Gerontology in Edina, MN

Active since July 06, 2015PECOS EnrolledAccepts Medicare Assignment
86.51/100
CMS Quality Rating
3400 W 66TH ST, EDINA, MN 55435(952) 914-1781 Get Directions Write a Review

NPPES record last updated: July 7, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1780067033
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameKATHERINE MARIE BREEZLEY
Location Address3400 W 66TH STEdina, MN 55435-2111
Mailing Address16581 Havelock WayLakeville, MN 55044-6255 · (952) 220-8978
Sole ProprietorYes
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2015
Enumeration DateJuly 6, 2015
Last NPPES UpdateJuly 7, 2015
NPI 1780067033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in MN · CNP 3969
Also ListedRegistered NurseTaxonomy 163W00000X · License R-203335-0 (MN)
3400 W 66TH ST, Edina, MN 55435

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID3476869173
PECOS Enrollment IDI20150826000314
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.

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
98 services26 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
36 services18 patients

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, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240080
Location2450 Riverside AvenueMinneapolis, MN 55454 · Hennepin County
Emergency services Birthing friendly

Physician 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.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

86.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.59
Promoting Interoperability100
Improvement Activities40
Cost67.96

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.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers14 claims14 services$65.61 avg. paid by Medicare
Standard hemi (low seat) wheelchair K0002
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$46.80 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Speech-Language Pathologist
3400 W 66TH ST
EDINA, MN 55435
Speech-Language Pathologist
3400 W 66TH ST
EDINA, MN 55435
Nurse Practitioner (Gerontology)
3400 W 66TH ST, SUITE 400
EDINA, MN 55435
Psychiatry & Neurology (Neurology)
3400 W 66TH ST, SUITE 150
EDINA, MN 55435
Occupational Therapist
3400 W 66TH ST, SUITE 450
EDINA, MN 55435
Physical Therapist
3400 W 66TH ST, SUITE 450
EDINA, MN 55435
Psychiatry & Neurology (Neurology)
3400 W 66TH ST, SUITE 150
EDINA, MN 55435
Nurse Practitioner (Gerontology)
3400 W 66TH ST, SUITE 400
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.

What insurance does Katherine Breezley accept?

Health plans from Medica and 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.