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BREEANNA HOLDAWAY ACNP
NPI 1962749010
Nurse Practitioner - Acute Care in Salt Lake City, UT

Active since January 09, 2013PECOS EnrolledAccepts Medicare Assignment
92.06/100
CMS Quality Rating
8 TH AVENUE & C ST, CENTRAL TOWER 5, SALT LAKE CITY, UT 84143(801) 408-3617 Get Directions Write a Review

NPPES record last updated: October 20, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Breeanna Holdaway Acnp NPPES

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

BREEANNA HOLDAWAY ACNP (NPI 1962749010) is an individual acute care provider in Salt Lake City, Utah, licensed in Utah (2012009665) and active in the NPI registry since January 2013. She is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1962749010
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameBREEANNA HOLDAWAYCredential: ACNP
Location Address8 TH AVENUE & C ST, CENTRAL TOWER 5Salt Lake City, UT 84143-0001
Mailing Address1113 E 3580 SSalt Lake City, UT 84106-2438 · (435) 452-1961
Phone(801) 408-3617
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJanuary 9, 2013
Last NPPES UpdateOctober 20, 2022
NPPES CertifiedOctober 20, 2022
✔ NPI 1962749010 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 UT · 2012009665
8 TH AVENUE & C ST, Salt Lake City, UT 84143
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Select Health, University of Utah Health Plans.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

Breeanna Holdaway Acnp 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 ID6608013966
PECOS Enrollment IDI20130506000523
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 7

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
193 services145 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
111 services91 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
55 services54 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
53 services40 patients
Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
19 services19 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
13 services12 patients

Hospital Affiliations CMS Care Compare

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

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number460009
Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84143 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

92.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.57
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers15 claims15 services$29.41 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers15 claims90 services$2.06 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IHC HEALTH SERVICES INC
Hospitalist
8 TH AVENUE & C ST
SALT LAKE CITY, UT 84143
Salt Lake County (801) 408-5482
IHC HEALTH SERVICES INC
Internal Medicine (Medical Oncology)
8 TH AVENUE & C ST
SALT LAKE CITY, UT 84143
Salt Lake County (801) 408-3043
MR. ANDREW HOWELL BUCKLEY R.PH
Pharmacist
8 TH AVENUE & C ST, ATTN: DEPT 521 - OUTPATIENT PHARMACY
SALT LAKE CITY, UT 84143
Salt Lake County (801) 408-1122
MARTHA REESE KAISER BSN, CWON
Registered Nurse (Enterostomal Therapy)
8 TH AVENUE & C ST
SALT LAKE CITY, UT 84143
Salt Lake County (801) 408-5663
MRS. GON T LAM NP
Nurse Practitioner (Family)
8 TH AVENUE & C ST
SLC, UT 84143
Salt Lake County (801) 408-1100

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 Breeanna Holdaway's NPI number?

The NPI number for Breeanna Holdaway is 1962749010. It was assigned to this individual provider in the NPPES registry on January 9, 2013.

Where is Breeanna Holdaway located?

Breeanna Holdaway practices at 8 Th Avenue & C St Central Tower 5, Salt Lake City, UT 84143. The listed phone number is (801) 408-3617.

What is Breeanna Holdaway's specialty?

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

Is Breeanna Holdaway enrolled in Medicare?

Yes. Breeanna Holdaway 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 Breeanna Holdaway accept?

Health plans from Molina Healthcare, Select Health and University of Utah Health Plans list Breeanna Holdaway 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 Breeanna Holdaway affiliated with any hospitals?

According to CMS data, Breeanna Holdaway is affiliated with University Of Utah Hospitals And Clinics.

When was this NPI record last updated?

The NPPES record for Breeanna Holdaway was last updated on October 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.