Individual provider Active NPI

Michelle Kaitlin Breen, CNP

  • Adult Health Nurse Practitioner
  • West Columbia, SC
National Provider Identifier
1669137063
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
30346 Issued in SC
Practice address
2728 Sunset Blvd Ste 300
West Columbia, SC 29169-4815
Phone
(803) 744-4900
Fax
(803) 744-4938
NPI assigned
Nov 2, 2021
Last updated
Mar 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 30346 SC Primary

Addresses

Primary practice location

2728 Sunset Blvd Ste 300
West Columbia, SC 29169-4815

Mailing address

PO Box 6069
West Columbia, SC 29171-6069
Phone (803) 744-4900

Other practice location 1

811 W Main St Ste 209
Lexington, SC 29072-2500
Phone (803) 314-9729

Other practice location 2

5115 Forest Dr Ste 200
Columbia, SC 29206-4934
Phone (803) 744-4900

Other practice location 3

3016 Longtown Commons Dr Ste 300
Columbia, SC 29229-7864
Phone (803) 744-4900

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mbreen197030@direct.lexmed.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, OH, SC3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20220224000001 AZ Practitioner - Nurse Practitioner 0446644009 Reassigns benefits to 1 organization
I20230619000137 OH Practitioner - Nurse Practitioner 0446644009 Reassigns benefits to 1 organization
I20251210000646 SC Practitioner - Nurse Practitioner 0446644009 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lexington Health IncGroup PAC ID 2567872070, 905 clinicians

Practice addresses (Care Compare)

2728 Sunset Blvd
Suite 300
West Columbia, SC 29169-4815
Phone (803) 744-4900

811 W Main St
Lexington, SC 29072-2500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
30346SCMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nextcare Arizona LLC CurrentSince Nov 18, 2021 Accepting new patients
Lexington Health Inc Adult Health CurrentSince Dec 1, 2025 Accepting new patients
Emergency Medicine Specialists, Inc Nurse Practitioner CurrentSince Jun 12, 2023 Accepting new patients
Nextcare Arizona I JV LLC Current Accepting new patients
Emergency Medicine Specialists Inc Nurse Practitioner CurrentSince Jun 12, 2023 Accepting new patients
Emergency Medicine Specialists Inc Nurse Practitioner Current Accepting new patients
Lexington Health Inc Current Accepting new patients
Lexington Health Inc CurrentSince Dec 1, 2025 Accepting new patients
Lexington County Health Services District, Inc. Past Accepting new patients

Locations

2080 W Southern Ave
Bldg A1
Apache Junction, AZ 85120
Phone (480) 985-0172

450 S Willard St
Ste 120
Cottonwood, AZ 86326
Phone (928) 634-2574

1000 N Humphreys St
Ste 104
Flagstaff, AZ 86001
Phone (928) 779-3844

914 N Scottsdale Rd
Ste 104
Tempe, AZ 85288
Phone (480) 776-1620

5369 S Calle Santa Cruz
Ste 145
Tucson, AZ 85706
Phone (520) 573-7500

9525 E Old Spanish Trl
Ste 101
Tucson, AZ 85748
Phone (520) 731-3666

1394 W 16th St
Yuma, AZ 85364
Phone (928) 539-0055

3535 Pentagon Blvd
Beavercreek, OH 45431
Phone (937) 702-4000

3535 Southern Blvd
Kettering, OH 45429
Phone (937) 298-1221

3131 Newmark Dr
Ste 220
Miamisburg, OH 45342

4000 Miamisburg Centerville Rd
Miamisburg, OH 45342
Phone (937) 384-8791

3016 Longtown Commons Dr
Ste 300
Columbia, SC 29229

5115 Forest Dr
Ste 200
Columbia, SC 29206

811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230

811 W Main St
Ste 209
Lexington, SC 29072
Phone (803) 314-9729

2728 Sunset Blvd
Ste 300
West Columbia, SC 29169
Phone (803) 744-4940

Interoperability endpoints

  • Direct secure messaging: mbreen197030@direct.lexmed.com

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

Hospital & facility affiliations 1

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": "1635811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1669137063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6069",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291716069",
            "telephone_number": "803-744-4900",
            "fax_number": "803-744-4938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2728 SUNSET BLVD STE 300",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291694815",
            "telephone_number": "803-744-4900",
            "fax_number": "803-744-4938"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "811 W Main St Ste 209",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "SC",
            "postal_code": "290722500",
            "country_code": "US",
            "telephone_number": "803-314-9729",
            "fax_number": "803-314-9721",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5115 Forest Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292064934",
            "country_code": "US",
            "telephone_number": "803-744-4900",
            "fax_number": "803-314-5571",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3016 Longtown Commons Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292297864",
            "country_code": "US",
            "telephone_number": "803-744-4900",
            "fax_number": "803-744-4935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREEN",
        "first_name": "MICHELLE",
        "middle_name": "KAITLIN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-02",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "SC",
            "license": "30346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mbreen197030@direct.lexmed.com",
            "affiliation": "N",
            "address_1": "2728 Sunset Blvd Ste 300",
            "city": "West Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "291694815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Columbia, SC

Sources for this page

Verify at the official NPI Registry.