NINA JOELLE BREAKSTONE MD
NPI 1811139454
Emergency Medicine in Luling, LA

Active since March 27, 2009PECOS EnrolledAccepts Medicare Assignment
1057 PAUL MAILLARD RD, LULING, LA 70070(985) 785-6242 Get Directions Write a Review

NPPES record last updated: January 8, 2016. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Nina Joelle Breakstone Md NPPES

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

NINA JOELLE BREAKSTONE MD (NPI 1811139454) is an individual emergency medicine provider in Luling, Louisiana, licensed in Louisiana (MD.204333) and active in the NPI registry since March 2009. She is enrolled in Medicare PECOS, is affiliated with Ochsner Medical Center Acute, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1811139454
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameNINA JOELLE BREAKSTONECredential: MD
Location Address1057 PAUL MAILLARD RDLuling, LA 70070-4349
Mailing Address1514 Jefferson HighwayNew Orleans, LA 70121 · (504) 842-4000
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateMarch 27, 2009
Last NPPES UpdateJanuary 8, 2016
✔ NPI 1811139454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in LA · MD.204333✔ Licensed in NY · 269756-1
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1057 PAUL MAILLARD RD, Luling, LA 70070

Other Identifiers 3

Medicare PIN281312YH3ULA
Medicaid1972959LA
Medicaid04254007MS

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nina Joelle Breakstone Md 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 ID446498323
PECOS Enrollment IDI20130605000175
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 Reassignments

5

Medicare enrollment records show Nina Breakstone reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
1057 PAUL MAILLARD RD
Luling, LA 70070
  • Reassigned Medicare billing, Louisiana enrollment
  • 114 clinicians in this Medicare group
Internal Medicine
150 HALL ST
Luling, LA 70070
  • Reassigned Medicare billing, Louisiana enrollment
  • 4,559 clinicians in this Medicare group
Emergency Medicine
180 W ESPLANADE AVE
Kenner, LA 70065
  • Reassigned Medicare billing, Louisiana enrollment
  • 181 clinicians in this Medicare group
Emergency Medicine
2700 NAPOLEON AVE
New Orleans, LA 70115
  • Reassigned Medicare billing, Louisiana enrollment
  • 240 clinicians in this Medicare group
Emergency Medicine
95 E FAIRWAY DR
Covington, LA 70433
  • Reassigned Medicare billing, Louisiana enrollment
  • 159 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
51 services48 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
13 services12 patients

Hospital Affiliations CMS Care Compare

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

Ochsner Medical Center Acute

Acute Care Hospitals · New Orleans, LA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190036
Location1516 Jefferson HwyNew Orleans, LA 70121 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70070 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

Anesthesiology
1057 PAUL MAILLARD RD
LULING, LA 70070
Physical Therapist
1057 PAUL MAILLARD RD
LULING, LA 70070
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1057 PAUL MAILLARD RD
LULING, LA 70070
Nurse Practitioner
1057 PAUL MAILLARD RD, STE. D-1900
LULING, LA 70070
Internal Medicine
1057 PAUL MAILLARD RD, SUITE 250
LULING, LA 70070
Internal Medicine (Infectious Disease)
1057 PAUL MAILLARD RD, SUITE 1900
LULING, LA 70070
Physician Assistant
1057 PAUL MAILLARD RD
LULING, LA 70070
Nurse Anesthetist, Certified Registered
1057 PAUL MAILLARD RD
LULING, LA 70070

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 Nina Breakstone's NPI number?

The NPI number for Nina Breakstone is 1811139454. It was assigned to this individual provider in the NPPES registry on March 27, 2009.

Where is Nina Breakstone located?

Nina Breakstone practices at 1057 Paul Maillard Rd, Luling, LA 70070. The listed phone number is (985) 785-6242.

What is Nina Breakstone's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Nina Breakstone enrolled in Medicare?

Yes. Nina Breakstone 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.

Which organizations bill Medicare for Nina Breakstone's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nina Breakstone reassigns Medicare benefits to 5 organizations: Luling Emergency Group LLC (Luling, LA), Ochsner Clinic LLC (Luling, LA), Kenner Emergency Group LLC (Kenner, LA), Belle Chasse Emergency Group LLC (New Orleans, LA) and Van Meter Emergency Physicians Inc. Apmc (Covington, LA). Each 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 Nina Breakstone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nina Breakstone accept?

Health plans from CHRISTUS Health Plan and HMO Louisiana list Nina Breakstone 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 Nina Breakstone affiliated with any hospitals?

According to CMS data, Nina Breakstone is affiliated with Ochsner Medical Center Acute.

When was this NPI record last updated?

The NPPES record for Nina Breakstone was last updated on January 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.