Alicia Dawn Breece, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50.004382 Issued in OH

Practice address

111 S Grant Ave Ste 350
Columbus, OH 43215

Phone

(614) 566-9160

Fax

(614) 566-8392

NPI assigned

Aug 11, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Alicia Dawn McBride Former name

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Physician Assistant

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ohiohealth Urgent Care LLCGroup PAC ID 3476733700, 129 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.16 of 100Reported as group

Quality

79.15

Promoting interoperability

100

Improvement activities

40

Cost

74.72

Merit-based Incentive Payment System (MIPS)

Final score

76.95 of 100Reported as group

Quality

43.39

Promoting interoperability

100

Improvement activities

40

Cost

76.51

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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 and National Provider Directory roles.

• Ohiohealth Urgent Care LLC

  • Urgent Care Clinic/Center
  • Dublin, OH
  • NPI 1811207160
  Medicare reassignment Care Compare group
• Fairfield Healthcare Professionals Inc

  • Surgery Physician
  • Lancaster, OH
  • NPI 1457396368
  Medicare reassignment
• Ohiohealth Corporation

  • Family Medicine Physician
  • Columbus, OH
  • NPI 1578545273
  Medicare reassignment
• Fairfield Healthcare Professionals, Inc.

  • Urgent Care Clinic/Center
  • Lancaster, OH
  • NPI 1700334182
  NPD
• Ohiohealth Corporation

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Columbus, OH
  • NPI 1265627301
  NPD
• Ohiohealth Corporation

  • Anesthesiology Physician
  • Columbus, OH
  • NPI 1407292105
  NPD

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

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1477929669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7527",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430170727",
            "telephone_number": "419-520-2495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S GRANT AVE STE 350",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43215",
            "telephone_number": "614-566-9160",
            "fax_number": "614-566-8392"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6905 Hospital Dr",
            "address_2": "Suite 130",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "OH",
            "postal_code": "430169600",
            "country_code": "US",
            "telephone_number": "614-923-0300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6905 Hospital Dr",
            "address_2": "Suite 130",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "OH",
            "postal_code": "430169600",
            "country_code": "US",
            "telephone_number": "614-923-0300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREECE",
        "first_name": "ALICIA",
        "middle_name": "DAWN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-11",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.004382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0146224",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICIA",
            "last_name": "MCBRIDE",
            "middle_name": "DAWN",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Freda J Breckenridge
• Jye L. Breckenridge, MSW, LISW-S
• Mary Beth Breckenridge, MD
• Elizabeth Marie Brecker
• Cole Tyler Bredehoeft, MD
• Susan Michelle Breeden, P.T.
• Hollie A Breedlove, R.D.
• Sarnell D Breedlove
• Wendy Breen, LISW-S
• Kathryn Breeze

• Physician Assistant in Columbus, OH
• Providers in Columbus, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.