Breanna Bennett, PA-C
Individual provider Active NPI Physician Assistant · Apache Junction, AZ
NPI 1528782380 · NPPES record last updated Jul 22, 2025
Key facts
- NPI
- 1528782380
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 2430 W Apache TRL Ste 5
Apache Junction, AZ 85120-5287 - Phone
- (480) 671-4086
- Fax
- (480) 671-4105
- NPI assigned
- Sep 26, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Center for Dermatology PLLC
Practice addresses (Care Compare)
14275 N 87TH St
Suite 110
Scottsdale, AZ 85260-3696
Phone (480) 905-8485
6644 E Baseline Rd
Suite 102
Mesa, AZ 85206-4439
Phone (480) 844-0510
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.48 of 100
- Quality
- 82.26
- Promoting interoperability
- 83
- Improvement activities
- 40
- Cost
- 76.85
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221221002463 | AZ | Practitioner - Physician Assistant | 7719357466 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9379 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Skin and Laser Therapy Institute, LTD | Current |
Accepting new patients | |
| Arizona Skin and Laser Therapy Institute, LTD | Current |
Accepting new patients | |
| Arizona Skin and Laser Therapy Institute, LTD | Current | Accepting new patients | |
| Arizona Skin and Laser Therapy Institute, LTD | Past | Accepting new patients | |
| Center for Dermatology, PLLC | Past | Accepting new patients |
Locations
2430 W Apache Trl
Ste 5
Apache Junction, AZ 85120
Phone (480) 671-4086
6644 E Baseline Rd
Ste 102
Mesa, AZ 85206
Phone (480) 844-0510
2224 W Northern Ave
Ste D300
Phoenix, AZ 85021
Phone (602) 277-1449
4835 E Cactus Rd
Ste 155
Scottsdale, AZ 85254
Phone (602) 996-3050
1500 S White Mountain Rd
Ste 401
Show Low, AZ 85901
Phone (928) 537-2550
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
2430 W Apache TRL Ste 5
Apache Junction, AZ 85120-5287
Mailing address
1423 N Warren Cir
Mesa, AZ 85207-4407
Other names
- Breanna Deets
Other providers in Apache Junction, AZ
- Iona Barin-Oxford
- Michael Shane Barrett
- Maria Baugh
- Dawn M Baumgartner
- Shana J Bean
- George Christopher Berry
- Alethea Bessire
- Better Living Care Home
- Better Senior Carehome LLC
- Manu Bhakoo
All providers in Apache Junction, AZ · Physician Assistant in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.