Individual provider Active NPI

Renee Marie Breitenbach, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Stuart, FL
National Provider Identifier
1366704124
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN9262538 Issued in FL
Practice address
1 SE Ocean Blvd Ste 7
Stuart, FL 34994-2214
Phone
(772) 919-9830
Fax
(772) 519-5342
NPI assigned
Jun 7, 2012
Last updated
May 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN9262538 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN9262538 FL Primary

Addresses

Primary practice location

1 SE Ocean Blvd Ste 7
Stuart, FL 34994-2214

Mailing address

1 SE Ocean Blvd Ste 7
Stuart, FL 34994-2214
Phone (772) 919-9830

Other identifiers 1

IdentifierTypeStateIssuer
APRN9262538OtherFLSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20130801000227 FL Practitioner - Nurse Practitioner 8628219771 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Behavioral Care LLCGroup PAC ID 1759569106, 5 clinicians

Practice addresses (Care Compare)

4031 Dixie Hwy NE
Palm Bay, FL 32905-3682
Phone (321) 622-3222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN9262538FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orchid Bloom Psychiatry and Wellness LLC Psychiatric/Mental Health Current Accepting new patients
Advanced Behavioral Care LLC CurrentSince Jun 1, 2023 Accepting new patients

Locations

911 Columbus Ave
Melbourne, FL 32901
Phone (321) 622-3222

4031 Dixie Hwy NE
Palm Bay, FL 32905
Phone (321) 622-3222

1 SE Ocean Blvd
Stuart, FL 34994
Phone (772) 249-2339

1 SE Ocean Blvd
Ste 7
Stuart, FL 34994
Phone (772) 919-9830

Organizations & group practices 2

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": "1339027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1366704124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SE OCEAN BLVD STE 7",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942214",
            "telephone_number": "772-919-9830",
            "fax_number": "772-519-5342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SE OCEAN BLVD STE 7",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942214",
            "telephone_number": "772-919-9830",
            "fax_number": "772-519-5342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREITENBACH",
        "first_name": "RENEE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-07",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9262538",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN9262538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "APRN9262538",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

Verify at the official NPI Registry.