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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ABIGAIL BREESE NP
NPI 1801784640
Nurse Practitioner - Psychiatric/Mental Health in Grand Rapids, MI

Active since June 27, 2025PECOS Enrolled
260 JEFFERSON AVE SE STE 100, GRAND RAPIDS, MI 49503(616) 336-3909 Get Directions Write a Review

NPPES record last updated: October 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 8, 2025, Jun 27, 2025 (2 updates tracked since 2025).

About Abigail Breese Np NPPES

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

ABIGAIL BREESE NP (NPI 1801784640) is an individual psychiatric/mental health provider in Grand Rapids, Michigan, licensed in Michigan (4704285376) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1801784640
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameABIGAIL BREESECredential: NP
Location Address260 JEFFERSON AVE SE STE 100Grand Rapids, MI 49503-6300
Mailing Address204 Highland DrRockford, MI 49341-1543 · (616) 322-1600
Phone(616) 336-3909
Sole ProprietorNo
Enumeration DateJune 27, 2025
Last NPPES UpdateOctober 20, 20262 updates tracked since enumeration
NPPES CertifiedOctober 20, 2026
✔ NPI 1801784640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MI · 4704285376
260 JEFFERSON AVE SE STE 100, Grand Rapids, MI 49503
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1221 John St NEGrand Rapids, MI 49503-3237 · Phone (844) 776-9651
Location 215146 16th AveMarne, MI 49435-9605 · Phone (844) 776-9651

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Abigail Breese Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Abigail Breese reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kent County Cmh Authority
1.8 mi
Community/Behavioral Health
790 FULLER AVE NE
Grand Rapids, MI 49503
  • Reassigned Medicare billing, Michigan enrollment
  • 164 clinicians in this Medicare group
NPI 1396404588 (616) 336-3909

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 49503 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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 Abigail Breese's NPI number?

The NPI number for Abigail Breese is 1801784640. It was assigned to this individual provider in the NPPES registry on June 27, 2025.

Where is Abigail Breese located?

Abigail Breese practices at 260 Jefferson Ave SE Ste 100, Grand Rapids, MI 49503. The listed phone number is (616) 336-3909.

What is Abigail Breese's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Abigail Breese enrolled in Medicare?

Yes. Abigail Breese is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Abigail Breese's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Abigail Breese reassigns Medicare benefits to Kent County Cmh Authority (Grand Rapids, MI). 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 Abigail Breese's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Abigail Breese accept?

Health plans from Oscar Insurance Company and Priority Health list Abigail Breese 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 Abigail Breese was last updated on October 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.