MRS. BREANNA ELIZABETH FLACCAVENTO PA-C
NPI 1780212175
Physician Assistant in Four Oaks, NC

Active since March 31, 2020PECOS EnrolledAccepts Medicare Assignment
725 BOYETTE ROAD, FOUR OAKS, NC 27524(877) 935-5255 Get Directions Write a Review

NPPES record last updated: May 19, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 19, 2025, May 12, 2025, Mar 26, 2025 and 2 more (5 updates tracked since 2020).

About Mrs. Breanna Elizabeth Flaccavento Pa-c NPPES

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

MRS. BREANNA ELIZABETH FLACCAVENTO PA-C (NPI 1780212175) is an individual physician assistant in Four Oaks, North Carolina, licensed in North Carolina (0010-10537) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Johnston Health, and maintains a secondary practice location in Lillington.

NPPES Registry Identity

NPI1780212175
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. BREANNA ELIZABETH FLACCAVENTOCredential: PA-C
Location Address725 BOYETTE ROADFour Oaks, NC 27524
Mailing Address6114 Us Highway 301 SFour Oaks, NC 27524-7417 · (814) 460-4746
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 31, 2020
Last NPPES UpdateMay 19, 20255 updates tracked since enumeration
NPPES CertifiedMay 19, 2025
NPI 1780212175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NC · 0010-10537
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

725 BOYETTE ROAD, Four Oaks, NC 27524

Secondary Practice Location 1

Location 14350 US 421 SLillington, NC 27546-6760 · Phone (910) 893-1210

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

Mrs. Breanna Elizabeth Flaccavento Pa-c 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 ID4981128154
PECOS Enrollment IDI20250409001197
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.

Hospital Affiliations CMS Care Compare

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

Johnston Health

Acute Care Hospitals · Smithfield, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340090
Location509 Bright Leaf BlvdSmithfield, NC 27577 · Johnston County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27524 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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 2

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

Physician Assistant
725 BOYETTE ROAD
FOUR OAKS, NC 27524
Dentist
725 BOYETTE ROAD
FOUR OAKS, NC 27524

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 Flaccavento's NPI number?

The NPI number for Breanna Flaccavento is 1780212175. It was assigned to this individual provider in the NPPES registry on March 31, 2020.

Where is Breanna Flaccavento located?

Breanna Flaccavento practices at 725 Boyette Road, Four Oaks, NC 27524. The listed phone number is (877) 935-5255.

What is Breanna Flaccavento's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Breanna Flaccavento enrolled in Medicare?

Yes. Breanna Flaccavento 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 Breanna Flaccavento accept?

Health plans from Blue Cross and Blue Shield of NC list Breanna Flaccavento 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 Flaccavento affiliated with any hospitals?

According to CMS data, Breanna Flaccavento is affiliated with Johnston Health.

When was this NPI record last updated?

The NPPES record for Breanna Flaccavento was last updated on May 19, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.