BREEANN MARIE PETRIE (PA-C) – Physician Assistant, NPI 1235430059
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,546 PHYSICIAN ASSISTANT in ID
Provider Addresses for BREEANN MARIE PETRIE (PA-C)
1102 E LOCUST ST
EMMETT, ID 836172713
Phone: (208) 365-6004
Fax: (208) 365-3589
Type: Mailing
431 E. MAIN ST.
#994
CHALLIS, ID 83226
Phone: (208) 833-1313
Fax: (833) 839-1195
Type: Mailing
431 E. MAIN ST. #994
CHALLIS, ID 832262713
Phone: (208) 833-1313
Fax: (833) 839-1195
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2010-12-03
PECOS data refreshed: 2026-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20101203001251 | I | Physician Assistant | ID | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 121 | 68 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 84 | 47 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 47 | 35 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 30 | 11 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 18 | 18 | $0 |
Insurance plans in this area (ZIP 83617)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | ID |
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