Individual provider Active NPI

Breanne Kali Flusche

  • Family Nurse Practitioner
  • Edmond, OK
National Provider Identifier
1013532209
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
106402 Issued in OK
Practice address
200 N Bryant Ave Ste 120
Edmond, OK 73034-6273
Phone
(405) 832-6881
Fax
(405) 578-9818
NPI assigned
Jun 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 106402 OK Primary

Addresses

Primary practice location

200 N Bryant Ave Ste 120
Edmond, OK 73034-6273

Mailing address

200 N Bryant Ave Ste 120
Edmond, OK 73034-6273
Phone (405) 832-6881

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200820000306 OK Practitioner - Nurse Practitioner 7618393729 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
MM Health Aprn-CNP PLLCGroup PAC ID 9335401744, 10 clinicians

Practice addresses (Care Compare)

200 N Bryant Ave
Edmond, OK 73034-6273
Phone (405) 832-6881

Hospital & facility affiliations

  • Weatherford Regional Hospital, Inc of Weatherford Hospital, Weatherford, OK, CCN 371323
  • Mercy Hospital Oklahoma City, Inc Hospital, Oklahoma City, OK, CCN 370013
  • Duncan Regional Hospital, Inc Hospital, Duncan, OK, CCN 370023
  • Norman Regional Hospital, Norman, OK, CCN 370008
  • Integris Health Enid Hospital Hospital, Enid, OK, CCN 370016

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MM Health Aprn-CNP PLLC CurrentSince Apr 22, 2024 Accepting new patients
Spine Surgery Associates PLLC CurrentSince Aug 1, 2021 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

200 N Bryant Ave
Ste 120
Edmond, OK 73034
Phone (405) 359-2473

14100 Parkway Commons Dr
Ste 200
Oklahoma City, OK 73134
Phone (405) 242-4345

Interoperability endpoints

  • Direct secure messaging: breanne.flusche.1@14870.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1591920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1013532209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N BRYANT AVE STE 120",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730346273",
            "telephone_number": "405-832-6881",
            "fax_number": "833-941-1685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N BRYANT AVE STE 120",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730346273",
            "telephone_number": "405-832-6881",
            "fax_number": "405-578-9818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLUSCHE",
        "first_name": "BREANNE",
        "middle_name": "KALI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-12",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "106402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.