Individual provider Active NPI

Breann Johnson, FNP

  • Family Nurse Practitioner
  • Little Rock, AR
National Provider Identifier
1386035962
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP127474 Issued in TX
Practice address
108 N Shackleford Rd
Little Rock, AR 72211-2840
Phone
(501) 900-8704
NPI assigned
Feb 18, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 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 AP127474 TX Primary
Family Nurse Practitioner 363LF0000X A004293 AR

Addresses

Primary practice location

108 N Shackleford Rd
Little Rock, AR 72211-2840

Mailing address

510 E Stoner Ave
Shreveport, LA 71101-4243
Phone (318) 221-8411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150611000021 TX Practitioner - Nurse Practitioner 2466773858 Reassigns benefits to 2 organizations
I20150702000211 AR Practitioner - Nurse Practitioner 2466773858 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthcare Express, LLPGroup PAC ID 9739131442, shared by 7 NPIs, 68 clinicians
Pain Treatment Centers of America PLLCGroup PAC ID 2769608819, 73 clinicians

Practice addresses (Care Compare)

125 Arkansas Blvd
Texarkana, AR 71854-1963
Phone (870) 772-9355

3515 Richmond Rd
Texarkana, TX 75503-0711
Phone (903) 791-9355

5950 Summerhill Rd
Texarkana, TX 75503-1639
Phone (844) 215-0731

Hospital & facility affiliations

  • Christus St Michael Health System Hospital, Texarkana, TX, CCN 450801

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP127474TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Treatment Centers of America, PLLC CurrentSince Jan 31, 2022 Accepting new patients
Healthcare Express, LLP CurrentSince Dec 1, 2022 Accepting new patients
Pain Treatment Centers of America PLLC CurrentSince Jan 31, 2022 Accepting new patients
Healthcare Express, LLP CurrentSince Dec 1, 2022 Accepting new patients
Pain Treatment Centers of America, PLLC Past Accepting new patients
Healthcare Express, LLP Past Accepting new patients
Texarkana Ambulatory Surgery Center LLC Past Accepting new patients

Locations

1215 Sidney St
Batesville, AR 72501
Phone (870) 262-1541

23150 Interstate 30 N
Bryant, AR 72022
Phone (501) 888-9047

108 N Shackleford Rd
Little Rock, AR 72211
Phone (501) 346-8116

11819 Maumelle Blvd
North Little Rock, AR 72113
Phone (501) 771-9355

4020 Richards Rd
Ste A
North Little Rock, AR 72117
Phone (501) 900-8763

125 Arkansas Blvd
Texarkana, AR 71854
Phone (870) 772-9355

711 E End Blvd S
Marshall, TX 75670
Phone (903) 938-4363

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

4701 W 7th St
Wake Village, TX 75501
Phone (903) 831-4065

Organizations & group practices 9

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 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": "1424217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1386035962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 E STONER AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014243",
            "telephone_number": "318-221-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 N SHACKLEFORD RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722112840",
            "telephone_number": "501-900-8704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "BREANN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-18",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP127474",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A004293",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.