Individual provider Active NPI

John Lance Breeding, CRNA

  • Certified Registered Nurse Anesthetist
  • Phillipsburg, NJ
National Provider Identifier
1992748396
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
174561 Issued in CO
Practice address
400 Strykers Rd
Phillipsburg, NJ 08865-9496
Phone
(706) 951-8396
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 174561 CO Primary

Addresses

Primary practice location

400 Strykers Rd
Phillipsburg, NJ 08865-9496

Mailing address

400 Strykers Rd
Phillipsburg, NJ 08865-9496
Phone (706) 951-8396

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070724000048 AK Practitioner - Certified Registered Nurse Anesthetist (Crna) 0042228520 Reassigns benefits to 3 organizations
I20230612002301 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 0042228520 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tanana Chiefs ConferenceGroup PAC ID 9537050109, 148 clinicians

Practice addresses (Care Compare)

1717 W Cowles St
Fairbanks, AK 99701-5926
Phone (907) 451-6682

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
174561COMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Tanana Chiefs Conference CurrentSince Mar 6, 2023 Accepting new patients
Denali Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2021 Accepting new patients
Tanana Chiefs Conference CurrentSince Mar 6, 2023 Accepting new patients
Chugach Anesthesia, LLC CurrentSince Mar 31, 2008 Accepting new patients
Mid West Anesthesia Consultants LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Alaska Spine Center, LLC Past Accepting new patients
RBS Evolution of Alaska LLC PastSince Dec 1, 2024 Accepting new patients

Locations

2801 Debarr Rd
Anchorage, AK 99508
Phone (907) 264-1222

1230 Northway Dr
Anchorage, AK 99508
Phone (907) 550-6100

4100 Lake Otis Pkwy
Ste 212
Anchorage, AK 99508
Phone (907) 550-6100

1717 W Cowles St
Fairbanks, AK 99701
Phone (907) 452-6682

1650 Cowles St
#100
Fairbanks, AK 99701
Phone (907) 451-8761

1650 Cowles St
Fairbanks, AK 99701
Phone (907) 452-8181

14700 28th Ave N
Ste 20
Plymouth, MN 55447
Phone (612) 559-3779

Interoperability endpoints

  • Direct secure messaging: john.breeding.1@15989.direct.athenahealth.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207008000000",
    "number": "1992748396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 STRYKERS RD",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088659496",
            "telephone_number": "706-951-8396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 STRYKERS RD",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088659496",
            "telephone_number": "706-951-8396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREEDING",
        "first_name": "JOHN",
        "middle_name": "LANCE",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2008-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CO",
            "license": "174561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phillipsburg, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.