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BREANNE M JAQUA D.O.
NPI 1821520313
Emergency Medicine in Gilbert, AZ

Active since April 03, 2017PECOS Enrolled
1501 N GILBERT RD, GILBERT, AZ 85234(480) 728-4100 Get Directions Write a Review

NPPES record last updated: February 10, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 10, 2022, Jul 15, 2019, Jun 6, 2019 and 2 more (5 updates tracked since 2017).

About Breanne M Jaqua D.o. NPPES

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

BREANNE M JAQUA D.O. (NPI 1821520313) is an individual emergency medicine provider in Gilbert, Arizona, licensed in Arizona (008620) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1821520313
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameBREANNE M JAQUACredential: D.O.
Location Address1501 N GILBERT RDGilbert, AZ 85234-2390
Mailing Address1501 N Gilbert Rd Fl 1Gilbert, AZ 85234-2390 · (480) 728-4100
Phone(480) 728-4100
Sole ProprietorNo
Enumeration DateApril 3, 2017
Last NPPES UpdateFebruary 10, 20225 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2022
✔ NPI 1821520313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in AZ · 008620✔ Licensed in OH · 34.013802
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1501 N GILBERT RD, Gilbert, AZ 85234
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Other Names 1

Former Name (1)Breanne M Hirshman Do

Secondary Practice Locations 2

Location 12213 Cherry St Fl 1, Emergency Medicine Residency - St. Vincent Medical CentToledo, OH 43608-2603 · Phone (419) 251-4724
Location 22213 Cherry Street, ACC Trauma ClinicToledo, OH 43608 · Phone (419) 251-4283 · Fax (419) 251-0814

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Breanne M Jaqua D.o. 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 85234 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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 11

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

DR. PAUL GENUISE M.D.
Family Medicine
1501 N GILBERT RD
GILBERT, AZ 85234
Maricopa County (480) 728-4114
DR. AURBINDERDEEP K. SIDHU MD
Family Medicine
1501 N GILBERT RD
GILBERT, AZ 85234
Maricopa County (480) 728-4114
EAST VALLEY SURGICAL ASSOCIATES,PLLC
Specialist
1501 N GILBERT RD, 207
GILBERT, AZ 85234
Maricopa County (480) 633-0202
MRS. LINDA GRIFFIN BROST RN OGNP
Obstetrics & Gynecology
1501 N GILBERT RD, STE 200
GILBERT, AZ 85234
Maricopa County (480) 633-6868
LAWRENCE R LEBEAU DO
Family Medicine
1501 N GILBERT RD
GILBERT, AZ 85234
Maricopa County (480) 728-4104
DESERT HORIZON MEDICAL GROUP
Podiatrist (Foot & Ankle Surgery)
1501 N GILBERT RD, SUITE 207
GILBERT, AZ 85234
Maricopa County (520) 421-1122
KAREN ELIZABETH SALTZMAN N.P.
Nurse Practitioner (Obstetrics & Gynecology)
1501 N GILBERT RD
GILBERT, AZ 85234
Maricopa County (480) 633-6868
CHANDLER RADIOLOGY ASSOCIATES LLC
Radiology (Diagnostic Radiology)
1501 N GILBERT RD
GILBERT, AZ 85234
Maricopa County (469) 401-2386

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 Breanne Jaqua's NPI number?

The NPI number for Breanne Jaqua is 1821520313. It was assigned to this individual provider in the NPPES registry on April 3, 2017. The provider is also known as Breanne M Hirshman Do.

Where is Breanne Jaqua located?

Breanne Jaqua practices at 1501 N Gilbert Rd, Gilbert, AZ 85234. The listed phone number is (480) 728-4100.

What is Breanne Jaqua's specialty?

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

Is Breanne Jaqua enrolled in Medicare?

Yes. Breanne Jaqua is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Breanne Jaqua was last updated on February 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.