1. Home
  2. Directory
  3. Idaho
  4. Coeur D Alene
  5. Nurse Practitioner
  6. NPI Profile

MRS. KELLIE KATHRYN BREAUX FNP-MSN
NPI 1861939910
Nurse Practitioner - Family in Coeur D Alene, ID

Active since January 27, 2017PECOS Enrolled
700 W IRONWOOD DR, SUITE 155, COEUR D ALENE, ID 83814(208) 667-0585(208) 667-0876 Get Directions Write a Review

NPPES record last updated: July 10, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 10, 2017, Jan 27, 2017 (2 updates tracked since 2017).

About Mrs. Kellie Kathryn Breaux Fnp-msn NPPES

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

MRS. KELLIE KATHRYN BREAUX FNP-MSN (NPI 1861939910) is an individual family provider in Coeur D Alene, Idaho, licensed in Idaho (55031) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861939910
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KELLIE KATHRYN BREAUXCredential: FNP-MSN
Location Address700 W IRONWOOD DR, SUITE 155Coeur D Alene, ID 83814-2656
Mailing Address700 W. Ironwood Drive, Suite 155Coeur D'alene, ID 83814-4462 · (208) 667-0585 · Fax (208) 667-0876
Phone(208) 667-0585
Fax(208) 667-0876
Sole ProprietorNo
Enumeration DateJanuary 27, 2017
Last NPPES UpdateJuly 10, 20172 updates tracked since enumeration
✔ NPI 1861939910 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 ID · 55031
700 W IRONWOOD DR, Coeur D Alene, ID 83814
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kellie Kathryn Breaux Fnp-msn 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 83814 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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.

DR. THOMAS R RAU MD
Pediatrics
700 W IRONWOOD DR, SUITE 155
COEUR D ALENE, ID 83814
Kootenai County (208) 667-0585
DR. ROBERT C. FARR M.D.
Otolaryngology
700 W IRONWOOD DR, STE 236
COEUR D ALENE, ID 83814
Kootenai County (208) 765-1345
JAMIE LEE PARK PHARM.D.
Pharmacist
700 W IRONWOOD DR
COEUR D ALENE, ID 83814
Kootenai County (208) 625-5688
MANDI NORDHAGEN
Pharmacist (Ambulatory Care)
700 W IRONWOOD DR, SUITE 228
COEUR D ALENE, ID 83814
Kootenai County (208) 625-5670
TERENCE EARL NEFF MD
Pediatrics
700 W IRONWOOD DR, SUITE 155
COEUR D ALENE, ID 83814
Kootenai County (208) 667-0585
KOOTENAI AUDIOLOGY, LLC
Audiologist (Assistive Technology Supplier)
700 W IRONWOOD DR, SUITE 236
COEUR D ALENE, ID 83814
Kootenai County (208) 765-1345
KOOTENAI HEALTH, INC.
Pharmacy (Clinic Pharmacy)
700 W IRONWOOD DR
COEUR D ALENE, ID 83814
Kootenai County (208) 625-5670
SPOKANE RADIATION ONCOLOGY ASSOCIATES P S
Radiology (Radiation Oncology)
700 W IRONWOOD DR
COEUR D ALENE, ID 83814
Kootenai County (208) 666-3800

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 Kellie Breaux's NPI number?

The NPI number for Kellie Breaux is 1861939910. It was assigned to this individual provider in the NPPES registry on January 27, 2017.

Where is Kellie Breaux located?

Kellie Breaux practices at 700 W Ironwood Dr Suite 155, Coeur D Alene, ID 83814. The listed phone number is (208) 667-0585.

What is Kellie Breaux's specialty?

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

Is Kellie Breaux enrolled in Medicare?

Yes. Kellie Breaux is registered in the Medicare PECOS enrollment system.

What insurance does Kellie Breaux accept?

Health plans from Providence Health Plan list Kellie Breaux 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 Kellie Breaux was last updated on July 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.