BREANNA AUBREY ROACH
NPI 1932050143
Nurse Practitioner - Family in Columbia, MD

Q: What is Breanna Roach's NPI number?

The NPI number for Breanna Roach is 1932050143. It was assigned to this individual provider in the NPPES registry on February 4, 2026. The provider is also known as Breanna Fisher-Robertson.

Q: What is Breanna Roach's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Breanna Roach was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since February 04, 2026PECOS EnrolledAccepts Medicare Assignment

6250 OLD DOBBIN LN, COLUMBIA, MD 21045(410) 730-3399 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Breanna Aubrey Roach NPPES

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

BREANNA AUBREY ROACH (NPI 1932050143) is an individual family provider in Columbia, Maryland, licensed in Maryland (R263677) and active in the NPI registry since February 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1932050143

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameBREANNA AUBREY ROACH

Location Address6250 OLD DOBBIN LNColumbia, MD 21045-5816

Mailing Address6250 Old Dobbin LnColumbia, MD 21045-5816 · (410) 730-3399

Phone(410) 730-3399

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateFebruary 4, 2026

NPPES CertifiedFebruary 4, 2026

✔ NPI 1932050143 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 MD · R263677

6250 OLD DOBBIN LN, Columbia, MD 21045

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Other Names 1

Former Name (1)Breanna Fisher-robertson

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

Breanna Aubrey Roach 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 ID446728836

PECOS Enrollment IDI20260504007982

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 21045 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

$94.08 typical visit price

range $60.73 – $183.44

Typical copayment $23.52 (range $15.18 – $45.86)

Most-billed visit code 99203

Established Patient

$106.59 typical visit price

range $19.60 – $149.17

Typical copayment $26.64 (range $4.90 – $37.29)

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. JOSEPH F GIBBONS M.D.

Internal Medicine