NPIMap

Breena Hampton

Individual provider Active NPI Family Nurse Practitioner · Columbia, IL

NPI 1992679948 · NPPES record last updated Jul 6, 2026

Key facts

NPI
1992679948
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
2025043143 (MO)
Practice address
1000 Eleven S Ste 4a
Columbia, IL 62236-1077
Phone
(618) 206-6120
Fax
(618) 602-6119
NPI assigned
Oct 2, 2025
Sex
Female
Sole proprietor
No

Organizations & group practices 10

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.

Hospital & facility affiliations 2

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

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SSM Medical Group Inc (565 clinicians)

Practice addresses (Care Compare)

1035 Bellevue Ave
Suite 400
Saint Louis, MO 63117-1844
Phone (314) 925-4700

Hospital & facility affiliations

  • SSM Health St Mary'S Hospital - St Louis Hospital · Saint Louis, MO · CCN 260091

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20251113002204 MO Practitioner - Nurse Practitioner 3476044876 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2025043143MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Medical Group Inc. Current
since Nov 6, 2025		 Accepting new patients
SSM Medical Group, Inc. Current
since Nov 6, 2025		 Accepting new patients
SSM Health Care St. Louis Past Accepting new patients

Locations

1000 Eleven S
Ste 4A
Columbia, IL 62236
Phone (618) 206-6120

604 Pierce Blvd
Ste 150
O Fallon, IL 62269
Phone (618) 222-9244

1035 Bellevue Ave
Ste 500
Saint Louis, MO 63117
Phone (314) 647-1115

1035 Bellevue Ave
Ste 400
Saint Louis, MO 63117
Phone 3149254700 ext. 4

3555 Sunset Office Dr
Ste C100
Saint Louis, MO 63127
Phone (314) 238-9100

Interoperability endpoints

  • Direct secure messaging: bhampton336250@direct-ehr-ssmhc.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2025043143 MO Yes

Addresses

Primary practice location

1000 Eleven S Ste 4a
Columbia, IL 62236-1077

Mailing address

1000 Eleven S Ste 4a
Columbia, IL 62236-1077
Phone (618) 206-6120

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 6, 2026.

{
    "created_epoch": "1759363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1992679948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 ELEVEN S STE 4A",
            "city": "COLUMBIA",
            "state": "IL",
            "postal_code": "622361077",
            "telephone_number": "618-206-6120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 ELEVEN S STE 4A",
            "city": "COLUMBIA",
            "state": "IL",
            "postal_code": "622361077",
            "telephone_number": "618-206-6120",
            "fax_number": "618-602-6119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMPTON",
        "first_name": "BREENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-02",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2025043143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, IL

All providers in Columbia, IL · Family Nurse Practitioner in Illinois

Sources for this page

Verify at the official NPI Registry.