Stephanie Breault, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

18725-NP Issued in OH

Practice address

1922 Glen Springs Dr
Fremont, OH 43420-3229

Phone

(419) 333-9026

NPI assigned

Feb 4, 2016

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 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

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mercy Health Urgent Care LLCGroup PAC ID 6406232230, 67 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sbreault2846159@direct.bsmhealth.org

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.

• Mercy Health Urgent Care LLC

  • Family Medicine Physician
  • Milford, OH
  • NPI 1588390942

  OH

  Medicare reassignment Care Compare group NPD
• Family Health Services of Erie County

  • Federally Qualified Health Center (FQHC)
  • Sandusky, OH
  • NPI 1831343805

  OH

  Medicare reassignment NPD
• North Coast Professional Company, LLC

  • Internal Medicine Physician
  • Sandusky, OH
  • NPI 1881648210

  OH

  Medicare reassignment NPD
• Family Health Services of Erie County

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Huron, OH
  • NPI 1902662349
  NPD
• North Coast Professional Company, LLC

  • Rural Health Clinic/Center
  • Fremont, OH
  • NPI 1407393242
  NPD

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

{
    "created_epoch": "1454544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464134400000",
    "number": "1699133751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 PIERCE ST",
            "address_2": "STE D",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448704669",
            "telephone_number": "419-557-5541",
            "fax_number": "419-557-5542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1922 GLEN SPRINGS DR",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434203229",
            "telephone_number": "419-333-9026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREAULT",
        "first_name": "STEPHANIE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-04",
        "last_updated": "2016-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "18725-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonnie J Bowlus, PT
• Douglas Robert Bowman, DDS, MS
• Ashley Nicole Bradford
• Chelsea Bradford
• Stephanie D Brant, QMHS
• Trudy Louise Briggs, STNA
• Meridith Elise Brinkman, LSW
• La Trisa Briscoe
• Lance Allen Brockschmidt
• Rachel J Brooks, FNP-C

• All providers in Fremont, OH
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2016; 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.