BREANNA LYNN WARD – Physician Assistant, NPI 1467925149

BREANNA LYNN WARD is a healthcare provider. based in East moline, Illinois. specializing in PHYSICIAN ASSISTANT. The NPI Number for BREANNA LYNN WARD is 1467925149

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
BREANNA LYNN WARD
NPI
1467925149
Phone
Not provided
Address
579 32ND AVE
Enumeration Date
6 January 2019
Last Update Date
3 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5633591646
Graduation Year
2018 (8 years ago)
PAC ID
7517207103
Group Practice PAC ID
8426949298
Professional Enrollment ID
I20190517001832
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience29
Completeness75
Years active:7State licenses:0Digital endpointsOther names

1,648 PHYSICIAN ASSISTANT in IA

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Provider Addresses for BREANNA LYNN WARD

  • 579, 32nd Avenue, West Lawn, East Moline, Rock Island County, Illinois, 61244, United States

    EAST MOLINE, IL 612443167

    Phone:

    Type: Mailing

  • 3385 DEXTER CT STE 101

    DAVENPORT, IA 528073471

    Phone:

    Type: Mailing

  • Dexter Court, Davenport, Scott County, Iowa, 52807, United States

    DAVENPORT, IA 528073471

    Phone: (563) 359-1646

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $182.

Total Amount is formed as General ($182) + Research ($0) + Ownership ($0) = $182.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($113).

Total Amount

$182

General + Research + Ownership

Payments

8

Total payment records

General Amount

$182

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

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: 2019-05-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20190318002358IPhysician AssistantIATBD
I20190517001832IPhysician AssistantILTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99203New patient office or other outpatient visit, 30-44 minutes134134$0
99212Established patient office or other outpatient visit, 10-19 minutes10983$0
69210Removal of impacted ear wax7852$0
99214Established patient office or other outpatient visit, 30-39 minutes3938$0
31575Diagnostic exam of voice box using a flexible endoscope2221$0
View full utilization report →

Insurance plans in this area (ZIP 61244)

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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: 8426949298View full group profile
NameSpecialtyState
-IA
-IA
Qualified AudiologistWI
Physician AssistantIL
Qualified AudiologistIA
O T O L A R Y N G O L O G YIA
Physician AssistantIA
Physician AssistantIA
O T O L A R Y N G O L O G YIA

Reviews

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Frequently asked questions

What is the standard ID for BREANNA LYNN WARD in the U.S.?
In the U.S., BREANNA LYNN WARD is identified by NPI 1467925149.
Is BREANNA LYNN WARD's NPI status active today?
Active status means BREANNA LYNN WARD's NPI record is not deactivated in the public file.
What type of care does BREANNA LYNN WARD provide?
BREANNA LYNN WARD's profile centers on Physician Assistant. Clinical services aligned with this taxonomy classification.
Can patients visit BREANNA LYNN WARD in East Moline, Illinois?
For routing, start with East Moline, Illinois for BREANNA LYNN WARD, then verify phone and hours locally.
Who maintains BREANNA LYNN WARD's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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