BREANA LEIGH JONES CRNP
NPI 1902465925
Nurse Practitioner - Family in Keyser, WV

Active since June 12, 2019PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
100 PIN OAK LN, KEYSER, WV 26726(304) 597-3500 Get Directions Write a Review

NPPES record last updated: June 12, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Breana Leigh Jones Crnp NPPES

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

BREANA LEIGH JONES CRNP (NPI 1902465925) is an individual family provider in Keyser, West Virginia, licensed in West Virginia (103704) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, is affiliated with Potomac Valley Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1902465925
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBREANA LEIGH JONESCredential: CRNP
Location Address100 PIN OAK LNKeyser, WV 26726-5908
Mailing Address326 Oakwood DrKeyser, WV 26726-9651 · (304) 813-3995
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 12, 2019
NPI 1902465925 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 WV · 103704
100 PIN OAK LN, Keyser, WV 26726

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Breana Leigh Jones Crnp 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 ID9133458912
PECOS Enrollment IDI20190903002837
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.

Areas of Expertise CMS Part B claims 4

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
65 services39 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
31 services26 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
16 services14 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Potomac Valley Hospital

Critical Access Hospitals · Keyser, WV
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number511315
Location100 Pin Oak LaneKeyser, WV 26726 · Mineral County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26726 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

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.

Physician Assistant
100 PIN OAK LN
KEYSER, WV 26726
Surgery
100 PIN OAK LN
KEYSER, WV 26726
Registered Nurse
100 PIN OAK LN
KEYSER, WV 26726
Health Educator
100 PIN OAK LN
KEYSER, WV 26726
Nurse Practitioner (Family)
100 PIN OAK LN
KEYSER, WV 26726
Nurse Practitioner
100 PIN OAK LN
KEYSER, WV 26726
Nurse Practitioner (Family)
100 PIN OAK LN
KEYSER, WV 26726
Emergency Medicine
100 PIN OAK LN
KEYSER, WV 26726

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 Breana Jones's NPI number?

The NPI number for Breana Jones is 1902465925. It was assigned to this individual provider in the NPPES registry on June 12, 2019.

Where is Breana Jones located?

Breana Jones practices at 100 Pin Oak Ln, Keyser, WV 26726. The listed phone number is (304) 597-3500.

What is Breana Jones's specialty?

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

Is Breana Jones enrolled in Medicare?

Yes. Breana Jones 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.

What insurance does Breana Jones accept?

Health plans from Highmark Blue Cross Blue Shield West Virginia list Breana Jones 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 Breana Jones affiliated with any hospitals?

According to CMS data, Breana Jones is affiliated with Potomac Valley Hospital.

When was this NPI record last updated?

The NPPES record for Breana Jones was last updated on June 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.