JACQUELINE NICOLE BREESE
NPI 1861352841
Clinical Nurse Specialist - Adult Health in Bartlesville, OK

Active since November 13, 2025PECOS Enrolled
3460 E FRANK PHILLIPS BLVD, BARTLESVILLE, OK 74006(918) 332-3600(918) 948-6535 Get Directions Write a Review

NPPES record last updated: August 3, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 3, 2026, Nov 13, 2025 (2 updates tracked since 2025).

About Jacqueline Nicole Breese NPPES

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

JACQUELINE NICOLE BREESE (NPI 1861352841) is an individual adult health provider in Bartlesville, Oklahoma, licensed in Oklahoma (229888) and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS and is a graduate of University Of Oklahoma College Of Medicine (2026).

NPPES Registry Identity

NPI1861352841
Entity TypeIndividualFemale
Primary Taxonomy364SA2200X
Provider Legal NameJACQUELINE NICOLE BREESE
Location Address3460 E FRANK PHILLIPS BLVDBartlesville, OK 74006-2406
Mailing Address402752 W 2600 RdBartlesville, OK 74006-0515 · (918) 332-3600 · Fax (918) 948-6535
Fax(918) 948-6535
Sole ProprietorYes
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 2026
Enumeration DateNovember 13, 2025
Last NPPES UpdateAugust 3, 20262 updates tracked since enumeration
NPPES CertifiedAugust 3, 2026
✔ NPI 1861352841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical Nurse Specialist · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SA2200X
License✔ Licensed in OK · 229888
Also ListedRegistered Nurse · Ambulatory CareTaxonomy 163WP2201X · License R0099385 (OK)
3460 E FRANK PHILLIPS BLVD, Bartlesville, OK 74006

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID9931664950
PECOS Enrollment IDI20260721001912
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 Jacqueline Breese reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rural Health
112 NORTH 5TH STREET
Barnsdall, OK 74002
  • Reassigned Medicare billing, Oklahoma enrollment
  • 820 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74006 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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 16

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

Nurse Practitioner (Family)
3460 E FRANK PHILLIPS BLVD
BARTLESVILLE, OK 74006
Nurse Practitioner (Gerontology)
3460 E FRANK PHILLIPS BLVD
BARTLESVILLE, OK 74006
Clinical Nurse Specialist (Acute Care)
3460 E FRANK PHILLIPS BLVD
BARTLESVILLE, OK 74006
Nurse Practitioner (Family)
3460 E FRANK PHILLIPS BLVD
BARTLESVILLE, OK 74006
Nurse Practitioner (Family)
3460 E FRANK PHILLIPS BLVD
BARTLESVILLE, OK 74006
Nurse Practitioner (Acute Care)
3460 E FRANK PHILLIPS BLVD
BARTLESVILLE, OK 74006
Physician Assistant
3460 E FRANK PHILLIPS BLVD
BARTLESVILLE, OK 74006
Nurse Practitioner (Acute Care)
3460 E FRANK PHILLIPS BLVD
BARTLESVILLE, OK 74006

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 Jacqueline Breese's NPI number?

The NPI number for Jacqueline Breese is 1861352841. It was assigned to this individual provider in the NPPES registry on November 13, 2025.

Where is Jacqueline Breese located?

Jacqueline Breese practices at 3460 E Frank Phillips Blvd, Bartlesville, OK 74006. The listed phone number is (918) 332-3600.

What is Jacqueline Breese's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Adult Health, with taxonomy code 364SA2200X.

Is Jacqueline Breese enrolled in Medicare?

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

Which organization bills Medicare for Jacqueline Breese's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Breese reassigns Medicare benefits to St. John Physicians, Inc (Barnsdall, OK). 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 Jacqueline Breese's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacqueline Breese accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Jacqueline 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 Jacqueline Breese was last updated on August 3, 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.