JENNIFER BREATHITT APRN
NPI 1932749561
Nurse Practitioner - Acute Care in Fayetteville, AR

Q: What is Jennifer Breathitt's NPI number?

The NPI number for Jennifer Breathitt is 1932749561. It was assigned to this individual provider in the NPPES registry on January 11, 2020.

Q: What is Jennifer Breathitt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Active since January 11, 2020PECOS Enrolled

4542 W WEDGE DR, FAYETTEVILLE, AR 72704(479) 409-6096 Get Directions Write a Review

NPPES record last updated: January 11, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Jennifer Breathitt Aprn NPPES

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

JENNIFER BREATHITT APRN (NPI 1932749561) is an individual acute care provider in Fayetteville, Arkansas, licensed in Arkansas (A006218) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932749561

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameJENNIFER BREATHITTCredential: APRN

Location Address4542 W WEDGE DRFayetteville, AR 72704-7532

Mailing Address4542 W Wedge DrFayetteville, AR 72704-7532 · (479) 409-6096

Phone(479) 409-6096

Sole ProprietorNo

Enumeration DateJanuary 11, 2020

✔ NPI 1932749561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in AR · A006218

4542 W WEDGE DR, Fayetteville, AR 72704

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Breathitt Aprn 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.

Medicare Billing Reassignment

Medicare enrollment records show Jennifer Breathitt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mercy Health Northwest Arkansas Communities

8.0 mi

Family Medicine

1110 W ROBINSON AVE
Springdale, AR 72764

Reassigned Medicare billing, Arkansas enrollment
Also billed through NPI 1699076737 (Arkansas)
472 clinicians in this Medicare group

NPI 1407266760 (479) 751-8440

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 72704 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

$79.72 typical visit price

range $51.36 – $157.74

Typical copayment $19.93 (range $12.84 – $39.43)

Most-billed visit code 99203

Established Patient

$91.63 typical visit price

range $16.16 – $128.77

Typical copayment $22.90 (range $4.04 – $32.19)

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.

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 Jennifer Breathitt's NPI number?

The NPI number for Jennifer Breathitt is 1932749561. It was assigned to this individual provider in the NPPES registry on January 11, 2020.

Where is Jennifer Breathitt located?

Jennifer Breathitt practices at 4542 W Wedge Dr, Fayetteville, AR 72704. The listed phone number is (479) 409-6096.

What is Jennifer Breathitt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Jennifer Breathitt enrolled in Medicare?

Yes. Jennifer Breathitt is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jennifer Breathitt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Breathitt reassigns Medicare benefits to Mercy Health Northwest Arkansas Communities (Springdale, AR). 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 Jennifer Breathitt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jennifer Breathitt was last updated on January 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.