Individual provider Active NPI

Breanna Marie Wesselhoft, APRN FNPC

  • Family Nurse Practitioner
  • Harrah, OK
National Provider Identifier
1346020468
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
215458 Issued in OK
Practice address
21001 SE 29TH St
Harrah, OK 73045-6591
Phone
(405) 391-5526
NPI assigned
Oct 5, 2023
Last updated
Nov 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 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 215458 OK Primary

Addresses

Primary practice location

21001 SE 29TH St
Harrah, OK 73045-6591

Mailing address

1912 Cimarron TRL
Choctaw, OK 73020-8016
Phone (405) 464-0191

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
I20231220004112 OK Practitioner - Nurse Practitioner 5597115287 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthcare Express, LLPGroup PAC ID 9739131442, 68 clinicians

Practice addresses (Care Compare)

1701 S Douglas Blvd
Midwest City, OK 73130-6221
Phone (405) 302-8999

Merit-based Incentive Payment System (MIPS)

Final score
84.12 of 100Reported as group
Quality
71.48
Promoting interoperability
100
Improvement activities
40
Cost
75.58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Express, LLP CurrentSince Nov 1, 2024 Accepting new patients
Healthcare Express, LLP Current Accepting new patients
Healthcare Express, LLP CurrentSince Nov 1, 2024 Accepting new patients
Icare Center LLC CurrentSince Nov 11, 2023 Accepting new patients
Summit Medical Center Past Accepting new patients
Healthcare Express, LLP Past Accepting new patients

Locations

14321 NE 23rd St
Choctaw, OK 73020
Phone (405) 342-0255

404 W Main St
Davis, OK 73030
Phone (405) 391-5526

2300 E 2nd St
Edmond, OK 73034

21001 SE 29th St
Harrah, OK 73045
Phone (405) 391-5526

1400 SE 4th St
Ste H
Moore, OK 73160
Phone (405) 790-0300

551 SE 4th St
Moore, OK 73160
Phone (405) 703-9321

1701 S Douglas Blvd
Oklahoma City, OK 73130
Phone (405) 302-8999

2903 W Britton Rd
Oklahoma City, OK 73120
Phone (405) 755-8028

3515 Richmond Rd
Texarkana, TX 75503
Phone (903) 831-7270

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1696464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1346020468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1912 CIMARRON TRL",
            "city": "CHOCTAW",
            "state": "OK",
            "postal_code": "730208016",
            "telephone_number": "405-464-0191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21001 SE 29TH ST",
            "city": "HARRAH",
            "state": "OK",
            "postal_code": "730456591",
            "telephone_number": "405-391-5526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESSELHOFT",
        "first_name": "BREANNA",
        "middle_name": "MARIE",
        "credential": "APRN FNPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-05",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "215458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrah, OK

Sources for this page

Verify at the official NPI Registry.