Individual provider Active NPI

Breaha R Wininger, ACNP-BC

  • Acute Care Nurse Practitioner
  • Evansville, IN
National Provider Identifier
1154615110
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
71003649A Issued in IN
Practice address
520 Mary St Ste 520
Evansville, IN 47710-1682
Phone
(812) 424-8231
Fax
(812) 435-8794
NPI assigned
Jun 7, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 71003649A IN Primary

Addresses

Primary practice location

520 Mary St Ste 520
Evansville, IN 47710-1682

Mailing address

520 Mary St Ste 520
Evansville, IN 47710-1682
Phone (812) 424-8231

Other practice location 1

801 Saint Marys Dr Ste 200E
Evansville, IN 47714-0518
Phone (812) 424-8231 ext. 2283

Other practice location 2

4133 Gateway Blvd Ste 290
Newburgh, IN 47630-7918
Phone (812) 424-8231

Other identifiers 4

IdentifierTypeStateIssuer
201100560MedicaidIN
71003649OtherININDIANA STATE LICENSE
7100332240MedicaidKY
000000977546OtherANTHEM BCBS

Other names 1

  • Breaha R Bennett Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20140110000272 IN Practitioner - Nurse Practitioner 8729216130 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evansville Surgical Associates IncGroup PAC ID 1557346723, 45 clinicians

Practice addresses (Care Compare)

520 Mary St
Suite 520
Evansville, IN 47710-1682
Phone (812) 424-8231

Hospital & facility affiliations

  • Ascension St Vincent Evansville Hospital, Evansville, IN, CCN 150100

Merit-based Incentive Payment System (MIPS)

Final score
37.54 of 100Reported as group
Promoting interoperability
0
Improvement activities
40
Cost
65.72

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71003649AINMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Surgeons, Inc. CurrentSince Oct 5, 2013 Accepting new patients
Evansville Surgical Associates Inc Acute Care CurrentSince Oct 26, 2015 Accepting new patients
Indiana University Health Care Associates, Inc CurrentSince Apr 19, 2014 Accepting new patients

Locations

7630 Solutions Ctr
Chicago, IL 60677

5208 Reliable Pkwy
Chicago, IL 60686

600 Mary St
Evansville, IN 47710
Phone (812) 450-2239

520 Mary St
Evansville, IN 47710
Phone (812) 250-0100

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

1125 Professional Blvd
Evansville, IN 47714
Phone (812) 471-4110

801 Saint Marys Dr
Ste 200E
Evansville, IN 47714
Phone 8124248231 ext. 2283

520 Mary St
Ste 520
Evansville, IN 47710
Phone 8124248231267

550 University Blvd
Indianapolis, IN 46202
Phone (217) 274-5000

1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000

4133 Gateway Blvd
Ste 100
Newburgh, IN 47630
Phone (812) 250-0200

4011 Gateway Blvd
Newburgh, IN 47630
Phone (812) 450-2240

4133 Gateway Blvd
Ste 290
Newburgh, IN 47630
Phone (812) 842-2701

4199 Gateway Blvd
Newburgh, IN 47630
Phone (812) 842-4200

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71249

Organizations & group practices 3

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 1

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": "1307404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1154615110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 MARY ST STE 520",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477101682",
            "telephone_number": "812-424-8231",
            "fax_number": "812-435-8794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 MARY ST STE 520",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477101682",
            "telephone_number": "812-424-8231",
            "fax_number": "812-435-8794"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 Saint Marys Dr Ste 200E",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477140518",
            "country_code": "US",
            "telephone_number": "812-424-8231 x2283",
            "fax_number": "812-435-8794",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4133 Gateway Blvd Ste 290",
            "address_purpose": "LOCATION",
            "city": "Newburgh",
            "state": "IN",
            "postal_code": "476307918",
            "country_code": "US",
            "telephone_number": "812-424-8231",
            "fax_number": "812-435-8794",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WININGER",
        "first_name": "BREAHA",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "ACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-07",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "IN",
            "license": "71003649A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201100560",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIANA STATE LICENSE",
            "identifier": "71003649",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100332240",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000977546",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BREAHA",
            "last_name": "BENNETT",
            "middle_name": "R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.