Individual provider Active NPI

Breana Mays, CNP

  • Family Nurse Practitioner
  • Genoa, OH
National Provider Identifier
1063774396
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0038157 Issued in OH
Practice address
300 Cherry St
Genoa, OH 43430-1823
Phone
(419) 855-7755
NPI assigned
Jun 12, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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 0038157 OH Primary

Addresses

Primary practice location

300 Cherry St
Genoa, OH 43430-1823

Mailing address

300 Cherry St
Genoa, OH 43430-1823
Phone (419) 855-7755

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20250905003427 OH Practitioner - Nurse Practitioner 2567964877 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11780 US Hwy 1 N107
Palm Beeach Gardens, FL 33408-3007

18312 Middlebelt Rd
Livonia, MI 48152-5007

3969 Laplaya LN
Orchard Lake, MI 48324-2965

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0038157OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Total Extended Care Services PC CurrentSince Aug 1, 2025 Accepting new patients
Dynamic Capabilities LLC Current Accepting new patients
Tecs Ohio Inc CurrentSince Nov 1, 2025 Accepting new patients

Locations

18312 Middlebelt Rd
Livonia, MI 48152
Phone (248) 426-9944

5200 Camelot Dr
Fairfield, OH 45014
Phone (513) 305-5500

2150 Montego Dr
Springfield, OH 45503
Phone (740) 310-4699

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.

NPI Registry JSON

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1063774396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CHERRY ST",
            "city": "GENOA",
            "state": "OH",
            "postal_code": "434301823",
            "telephone_number": "419-855-7755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CHERRY ST",
            "city": "GENOA",
            "state": "OH",
            "postal_code": "434301823",
            "telephone_number": "419-855-7755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYS",
        "first_name": "BREANA",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-12",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0038157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Genoa, OH

Sources for this page

Verify at the official NPI Registry.