MR. BARRY ELLIS BRECKLE JR. RN, MSN, FNP-BC
NPI 1801858121
Nurse Practitioner - Family in Saint Louis, MO

Q: What is Barry Breckle's NPI number?

The NPI number for Barry Breckle is 1801858121. It was assigned to this individual provider in the NPPES registry on April 3, 2006.

Q: What is Barry Breckle's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Barry Breckle was last updated on December 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since April 03, 2006PECOS Enrolled

1 JEFFERSON BARRACKS DR, 11G-JB, SAINT LOUIS, MO 63125(314) 845-5054(314) 845-5092 Get Directions Write a Review

NPPES record last updated: December 17, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Barry Ellis Breckle Jr. Rn, Msn, Fnp-bc NPPES

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

MR. BARRY ELLIS BRECKLE JR. RN, MSN, FNP-BC (NPI 1801858121) is an individual family provider in Saint Louis, Missouri, licensed in Minnesota (5862) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801858121

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. BARRY ELLIS BRECKLE JR.Credential: RN, MSN, FNP-BC

Location Address1 JEFFERSON BARRACKS DR, 11G-JBSaint Louis, MO 63125-4181

Mailing Address1 Jefferson Barracks DrSaint Louis, MO 63125-4181 · (314) 845-5054 · Fax (314) 845-5092

Phone(314) 845-5054

Fax(314) 845-5092

Sole ProprietorNo

Enumeration DateApril 3, 2006

Last NPPES UpdateDecember 17, 2020

NPPES CertifiedDecember 17, 2020

✔ NPI 1801858121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MN · 5862

1 JEFFERSON BARRACKS DR, Saint Louis, MO 63125

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Barry Ellis Breckle Jr. Rn, Msn, Fnp-bc 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63125 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

$86.32 typical visit price

range $55.65 – $169.38

Typical copayment $21.58 (range $13.91 – $42.34)

Most-billed visit code 99203

Established Patient

$98.37 typical visit price

range $17.76 – $137.92

Typical copayment $24.59 (range $4.44 – $34.48)

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.

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.

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