Mallory Breidert, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

252198-30 Issued in WI

Practice address

900 Illinois Ave
Stevens Point, WI 54481-3114

Phone

(715) 346-5000

NPI assigned

Sep 3, 2024

Last updated

Sep 3, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

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

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aspirus Rhinelander and Tomahawk Hospitals and Clinics, Inc.Group PAC ID 9335059856, 566 clinicians

Aspirus Stevens Point Hospital and Clinics, Inc.Group PAC ID 1850358938, 136 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Aspirus Stevens Point Hospital & Clinics, Inc. Hospital, Stevens Point, WI, CCN 520002

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.

  dba Aspirus Stevens Point Clinic - Illinois Avenue

  • Clinic/Center
  • Stevens Point, WI
  • NPI 1144991340
  Medicare reassignment Care Compare group NPD
• Aspirus Stevens Point Hospital & Clinics, Inc.

  • General Acute Care Hospital
  • Stevens Point, WI
  • NPI 1538112230
  Medicare reassignment Care Compare group NPD
• Aspirus Eagle River Hospital & Clinics, Inc.

  dba Aspirus Eagle River Hospital

  • Critical Access Hospital
  • Eagle River, WI
  • NPI 1346204385
  Medicare reassignment NPD
• Aspirus Merrill Hospital & Clinics, Inc.

  dba Aspirus Merrill Hospital

  • Critical Access Hospital
  • Merrill, WI
  • NPI 1124084678
  Medicare reassignment NPD
• The Howard Young Medical Center, Inc.

  dba Howard Young Medical Center

  • General Acute Care Hospital
  • Woodruff, WI
  • NPI 1184673352
  Medicare reassignment NPD
• Aspirus Eagle River Hospital, Inc.

  dba Aspirus Eagle River Hospital

  • Emergency Medicine Physician
  • Eagle River, WI
  • NPI 1699728915
  NPD
• Aspirus Merrill Hospital & Clinics, Inc.

  dba Aspirus Merrill Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Merrill, WI
  • NPI 1407096266
  NPD
• Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.

  dba Aspirus Plover Clinic - Plover Road

  • Clinic/Center
  • Plover, WI
  • NPI 1053080168
  NPD
• Aspirus Stevens Point Hospital & Clinics, Inc.

  dba Aspirus Behavioral Health Clinic - Stevens Point - Prentice St

  • Clinic/Center
  • Stevens Point, WI
  • NPI 1679706022
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Aspirus Stevens Point Hospital & Clinics, Inc.

  • General Practice Physician
  • Stevens Point, WI
  • NPI 1184082745

  Hospital

  Care Compare affiliation
• Aspirus Stevens Point Hospital & Clinics, Inc.

  • General Acute Care Hospital
  • Stevens Point, WI
  • NPI 1538112230
  Care Compare affiliation

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

{
    "created_epoch": "1725321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1548095334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 W BIRDSALL ST",
            "city": "WEYAUWEGA",
            "state": "WI",
            "postal_code": "549838916",
            "telephone_number": "574-250-7802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 ILLINOIS AVE",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544813114",
            "telephone_number": "715-346-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREIDERT",
        "first_name": "MALLORY",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-03",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "252198-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William K Boylan, DDS
• Boys and Girls Club of Portage County
• Daniel Bradley
• Amanda J Brandt, P.T.
• Andrew J Braun, MD
• Megan Breu, APNP
• Angela Brey
• Larry Brinkman, MD
• Melissa Diane Brix, DPT
• April M Brown

• Family Nurse Practitioner in Stevens Point, WI
• Providers in Stevens Point, WI by specialty
• Family Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.