JASON BREAUX (CRNP) – Nurse Practitioner, NPI 1194402552

JASON BREAUX (CRNP) is a healthcare provider. based in Opelika, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. 1-173706 (AL). The NPI Number for JASON BREAUX (CRNP) is 1194402552

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
JASON BREAUX (CRNP)
NPI
1194402552
Phone
(334) 528-5959
Address
2000 PEPPERELL PKWY
Enumeration Date
28 June 2023
Last Update Date
8 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3345285400
Graduation Year
2023 (3 years ago)
PAC ID
6507229051
Group Practice PAC ID
9638344708
Professional Enrollment ID
I20230830003660
Address ID
AL368015452OP2000XPKWY300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for JASON BREAUX (CRNP)

  • 2000 PEPPERELL PKWY

    OPELIKA, AL 368015452

    Phone: (334) 528-5959

    Fax: (334) 528-5899

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $20.

Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.

Last reported payment date: 2024-07-09 • Largest payer in this snapshot: Ethicon US, LLC ($20).

Total Amount

$20

General + Research + Ownership

Payments

1

Total payment records

General Amount

$20

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-09

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Ethicon US, LLC$20
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-08-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230830003660INurse PractitionerALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 36801)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9638344708View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)MS
Cardiovascular Disease (Cardiology)AL
Cardiovascular Disease (Cardiology)AL
Nurse PractitionerAL
Cardiovascular Disease (Cardiology)AL
Nurse PractitionerGA
Interventional Radiology, Cardiovascular Disease (Cardiology)AL
Interventional Cardiology, Cardiovascular Disease (Cardiology)NC
Nurse PractitionerAL
Cardiovascular Disease (Cardiology), Peripheral Vascular DiseaseAL

Reviews

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Frequently asked questions

What federal number belongs to JASON BREAUX (CRNP)?
The federal identifier for JASON BREAUX (CRNP) is NPI 1194402552.
Does this profile mean JASON BREAUX (CRNP) is currently active?
Yes — JASON BREAUX (CRNP) appears active in the national provider directory.
What kind of provider is JASON BREAUX (CRNP)?
The page reflects Nurse Practitioner for JASON BREAUX (CRNP). Clinical services aligned with this taxonomy classification.
Does JASON BREAUX (CRNP) practice in Alabama?
You will see Opelika, Alabama on file for JASON BREAUX (CRNP) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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