BRESHA PATTON – Primary Care Nurse Practitioner, NPI 1336602382

BRESHA PATTON is a healthcare provider. based in Port st lucie, Florida. specializing in NURSE PRACTITIONER. They hold a License No. 11001383 (FL). The NPI Number for BRESHA PATTON is 1336602382

Main info

Female
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
BRESHA PATTON
NPI
1336602382
Phone
(772) 333-2001
Address
2318 SW WYNNEWOOD ST
Enumeration Date
8 April 2019
Last Update Date
23 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3213879451
Graduation Year
2018 (8 years ago)
PAC ID
0446683106
Group Practice PAC ID
5890045256
Professional Enrollment ID
I20191210003431
Address ID
FL331612614MI14601AVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

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Provider Addresses for BRESHA PATTON

  • 2318, Southwest Wynnewood Street, Port St. Lucie, St. Lucie County, Florida, 34953, United States

    PORT ST LUCIE, FL 349532439

    Phone: (772) 333-2001

    Type: Mailing

  • 4200 ABERNATHY WAY

    FORT PIERCE, FL 349471347

    Phone: (772) 879-1112

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 155 Open Payments records for all available years, with a total value of $3,039.

Total Amount is formed as General ($3,039) + Research ($0) + Ownership ($0) = $3,039.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Novo Nordisk Inc ($403).

Total Amount

$3,039

General + Research + Ownership

Payments

155

Total payment records

General Amount

$3,039

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

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: 2019-12-10

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
I20191210003431INurse PractitionerFLTBD

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 34953)

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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: 5890045256View full group profile
NameSpecialtyState
Internal MedicineFL
Physical Medicine And RehabilitationFL
Nurse PractitionerFL
Physician AssistantFL
Physician AssistantFL
Nurse PractitionerFL
Osteopathic Manipulative MedicineIL
Osteopathic Manipulative MedicineFL
Nurse PractitionerFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

What is the standard ID for BRESHA PATTON in the U.S.?
In the U.S., BRESHA PATTON is identified by NPI 1336602382.
Should I treat BRESHA PATTON as an active provider?
Patients and plans typically see BRESHA PATTON as active in the national extract.
Which specialty label fits BRESHA PATTON?
NPPES ties BRESHA PATTON to Primary Care Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to BRESHA PATTON?
BRESHA PATTON shows a connection to Port St Lucie, Florida in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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