TAMMY BREAULT
NPI 1902207012
Counselor - Professional in Saint Croix Falls, WI
About Tammy Breault NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TAMMY BREAULT (NPI 1902207012) is an individual professional provider in Saint Croix Falls, Wisconsin, licensed in Wisconsin (6219-125) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
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
Tammy Breault 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.
Medicare Billing Reassignment
Medicare enrollment records show Tammy Breault reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Durham, NC 27701
- Reassigned Medicare billing, Wisconsin enrollment
- 63 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.
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 Tammy Breault's NPI number?
The NPI number for Tammy Breault is 1902207012. It was assigned to this individual provider in the NPPES registry on September 8, 2014.
Where is Tammy Breault located?
Tammy Breault practices at 2367 Beede Lake Trl, Saint Croix Falls, WI 54024. The listed phone number is (715) 553-0159.
What is Tammy Breault's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Tammy Breault enrolled in Medicare?
Yes. Tammy Breault 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 organization bills Medicare for Tammy Breault's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tammy Breault reassigns Medicare benefits to Mental Health Specialty Group PA (Durham, NC). 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 Tammy Breault's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tammy Breault accept?
Health plans from Anthem Blue Cross and Blue Shield and UnitedHealthcare list Tammy Breault 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 Tammy Breault was last updated on October 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Tammy Breault · NPI 1902207012
Professional provider in Saint Croix Falls, Wisconsin. Individual provider, active in the CMS NPPES registry since September 8, 2014.
## Identity
- **NPI:** 1902207012 (Entity type: Individual)
- **Enumerated:** September 8, 2014
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 6219-125 (Wisconsin)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2367 BEEDE LAKE TRL, Saint Croix Falls, WI 54024-7931
- **Phone:** (715) 553-0159
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Mental Health Specialty Group PA (NPI 1801472634, Durham, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** October 22, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1902207012) · Data from the CMS NPPES public registry.