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

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: August 23, 2026.

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, and ordering and referring status from the CMS PECOS system.

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.

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.

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.