Makenzie Julia Breitbach, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R41764 Issued in ND

Practice address

2422 20TH St SW
Jamestown, ND 58401-6201

Phone

(701) 953-1050

NPI assigned

Aug 2, 2021

Last updated

Aug 2, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ND

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

Merit-based Incentive Payment System (MIPS)

Final score

93.78 of 100Reported as apm

Quality

80.38

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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

• Lutheran Charity Association

  dba Jamestown Regional Medical Center

  • Critical Access Hospital
  • Jamestown, ND
  • NPI 1548256753
  Medicare reassignment NPD
• Lutheran Charity Association

  dba Jamestown Regional Medical Center Physician Group

  • Emergency Medicine Physician
  • Jamestown, ND
  • NPI 1821044652
  Medicare reassignment NPD
• Lutheran Charity Association

  dba Jamestown Regional Medical Center Clinic

  • Multi-Specialty Clinic/Center
  • Jamestown, ND
  • NPI 1073569794
  NPD
• Lutheran Charity Association

  dba Jamestown Regional Medical Center Radiology

  • Diagnostic Radiology Physician
  • Jamestown, ND
  • NPI 1700038981
  NPD
• Lutheran Charity Association

  • Medicare Defined Swing Bed Hospital Unit
  • Jamestown, ND
  • NPI 1184610347
  NPD (past)

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

{
    "created_epoch": "1627862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1164196473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 2ND AVE SW",
            "city": "RUGBY",
            "state": "ND",
            "postal_code": "583682402",
            "telephone_number": "701-710-1429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2422 20TH ST SW",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584016201",
            "telephone_number": "701-953-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREITBACH",
        "first_name": "MAKENZIE",
        "middle_name": "JULIA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-02",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "R41764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Bourne, LMT
• Kathryn Bradley, RN
• Renee Brady
• Jason J Braun, D.D.S.
• Breck Leach DMD, PLLC (Jamestown Dental)
• Derek M Brickner, MD
• Bridgewell
• Bridgewell LLC
• Riley Britton
• Alan J Broadhead, MD

• Family Nurse Practitioner in Jamestown, ND
• Providers in Jamestown, ND by specialty
• Family Nurse Practitioner in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.