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

Sex

Female

Sole proprietor

No

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.

• Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.

  • Clinic/Center
  • Stevens Point, WI
  • NPI 1144991340

  WI

  Medicare reassignment Care Compare group NPD
• Aspirus Stevens Point Hospital & Clinics, Inc.

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

  WI

  Medicare reassignment Care Compare group NPD
• Aspirus Eagle River Hospital & Clinics, Inc.

  • Critical Access Hospital
  • Eagle River, WI
  • NPI 1346204385

  WI

  Medicare reassignment NPD
• Aspirus Merrill Hospital & Clinics, Inc.

  • Critical Access Hospital
  • Merrill, WI
  • NPI 1124084678

  WI

  Medicare reassignment NPD
• The Howard Young Medical Center, Inc.

  • General Acute Care Hospital
  • Woodruff, WI
  • NPI 1184673352

  WI

  Medicare reassignment NPD
• Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.

  • Clinic/Center
  • Plover, WI
  • NPI 1053080168
  Care Compare group NPD
• Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc

  • Rural Health Clinic/Center
  • Rhinelander, WI
  • NPI 1598420218
  Care Compare group
• Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.

  • Clinic/Center
  • Wittenberg, WI
  • NPI 1114696507
  Care Compare group
• Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.

  • Clinic/Center
  • Stevens Point, WI
  • NPI 1306515671
  Care Compare group
• Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.

  • Clinic/Center
  • Amherst, WI
  • NPI 1316616428
  Care Compare group
• Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.

  • Clinic/Center
  • Rhinelander, WI
  • NPI 1316616683
  Care Compare group
• Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.

  • Family Medicine Physician
  • Stevens Point, WI
  • NPI 1336818608
  Care Compare group

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

  Hospital

  Care Compare affiliation

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. 566 clinicians

Aspirus Stevens Point Hospital and Clinics, Inc. 136 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 3, 2024.

{
    "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": []
}

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

• All providers in Stevens Point, WI
• 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.