MRS. HEATHER BRECKENRIDGE RN
NPI 1790675262
Nurse Practitioner - Family in Flagstaff, AZ
About Mrs. Heather Breckenridge Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. HEATHER BRECKENRIDGE RN (NPI 1790675262) is an individual family provider in Flagstaff, Arizona, licensed in Arizona (339539RNP) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2026).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Heather Breckenridge Rn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Heather Breckenridge reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Flagstaff, AZ 86004
- Reassigned Medicare billing, Arizona enrollment
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 86004 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Heather Breckenridge's NPI number?
The NPI number for Heather Breckenridge is 1790675262. It was assigned to this individual provider in the NPPES registry on July 7, 2025.
Where is Heather Breckenridge located?
Heather Breckenridge practices at 2615 N 4th St Ste 6, Flagstaff, AZ 86004. The listed phone number is (928) 699-3266.
What is Heather Breckenridge's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Heather Breckenridge enrolled in Medicare?
Yes. Heather Breckenridge is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Heather Breckenridge's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Heather Breckenridge reassigns Medicare benefits to Breckenridge Wellness Clinic (Flagstaff, AZ). 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 Heather Breckenridge's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Heather Breckenridge was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mrs. Heather Breckenridge, RN · NPI 1790675262
Family physician in Flagstaff, Arizona. Individual provider, active in the CMS NPPES registry since July 7, 2025.
## Identity
- **NPI:** 1790675262 (Entity type: Individual)
- **Enumerated:** July 7, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 339539RNP (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 2615 N 4TH ST STE 6, Flagstaff, AZ 86004-1812
- **Phone:** (928) 699-3266
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Breckenridge Wellness Clinic (NPI 1659200699, Flagstaff, AZ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2026
## Record status
- **NPPES last updated:** July 28, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1790675262) · Data from the CMS NPPES public registry.