Individual provider Active NPI

Breeann Sparks, CRNA

  • Certified Registered Nurse Anesthetist
  • Terre Haute, IN
National Provider Identifier
1265904718
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
124772 Issued in IN
Practice address
1421 N 7TH St
Terre Haute, IN 47807-1005
Phone
(812) 264-2443
NPI assigned
Dec 21, 2018
Last updated
Aug 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 124772 IN Primary

Addresses

Primary practice location

1421 N 7TH St
Terre Haute, IN 47807-1005

Mailing address

8200 E Audrey Ave
Terre Haute, IN 47803-8030
Phone (812) 239-4083

Other names 1

  • Breann Higginbottom Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190128000878 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 8527305671 Reassigns benefits to 2 organizations
I20231117001618 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 8527305671 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hendricks County HospitalGroup PAC ID 4880505528, 341 clinicians

Practice addresses (Care Compare)

1000 E Main St
Danville, IN 46122-1948
Phone (317) 718-4740

721 E Court St
Paris, IL 61944-2460
Phone (217) 465-4141

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.05 of 100Reported as apm
Quality
72.1
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
124772INMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Hendricks County Hospital CurrentSince Oct 28, 2024 Accepting new patients
Hospital & Medical Foundation of Paris, Inc. CurrentSince Oct 9, 2023 Accepting new patients
Hendricks County Hospital Current Accepting new patients
Hendricks County Hospital CurrentSince Oct 28, 2024 Accepting new patients
Hospital & Medical Foundation of Paris, Inc. Nurse Anesthetist, Certified Registered CurrentSince Oct 9, 2023 Accepting new patients
Hospital & Medical Foundation of Paris, Inc. Current Accepting new patients
Iceland Anesthesia Management, LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 15, 2021 Accepting new patients

Locations

721 E Court St
Paris, IL 61944
Phone (217) 465-4141

8244 E US Highway 36
Ste 1100
Avon, IN 46123
Phone (317) 272-7500

8244 E US Highway 36
Ste 1340
Avon, IN 46123
Phone (317) 520-5510

801 S Main St
Clinton, IN 47842
Phone (765) 832-1212

1000 E Main St
Danville, IN 46122
Phone (317) 745-3420

441 N Wabash Ave
Marion, IN 46952
Phone (219) 482-4577

1421 N 7th St
Terre Haute, IN 47807
Phone (812) 231-4604

Interoperability endpoints

  • Direct secure messaging: bree.sparks.1@11356.direct.athenahealth.com

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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": "1545350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1265904718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 E AUDREY AVE",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478038030",
            "telephone_number": "812-239-4083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 N 7TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478071005",
            "telephone_number": "812-264-2443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARKS",
        "first_name": "BREEANN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-21",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IN",
            "license": "124772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BREANN",
            "last_name": "HIGGINBOTTOM",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Terre Haute, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.