BREANNA REGGUINTI – Family Nurse Practitioner, NPI 1871002048

BREANNA REGGUINTI is a healthcare provider. based in Morton, Illinois. specializing in NURSE PRACTITIONER. They hold a License No. 209016598 (IL). The NPI Number for BREANNA REGGUINTI is 1871002048

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
BREANNA REGGUINTI
NPI
1871002048
Phone
(309) 263-4343
Address
621 W JACKSON ST
Enumeration Date
20 September 2017
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3096436185
Graduation Year
2017 (9 years ago)
PAC ID
1254607278
Group Practice PAC ID
3577515774
Professional Enrollment ID
I20171019000235
Address ID
IL615712181WA209XXLNXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

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Provider Addresses for BREANNA REGGUINTI

  • 621, West Jackson Street, Morton, Tazewell County, Illinois, 61550, United States

    MORTON, IL 615501535

    Phone: (309) 263-4343

    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)

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: 2017-10-19

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
I20171019000235INurse PractitionerILTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes220181$0
99214Established patient office or other outpatient visit, 30-39 minutes4746$0
99203New patient office or other outpatient visit, 30-44 minutes3535$0
81003Automated urinalysis test2320$0
96372Injection of drug or substance under skin or into muscle1714$0
View full utilization report →

Insurance plans in this area (ZIP 61550)

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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: 3577515774View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YIL
Nurse PractitionerIL
Clinical PsychologistIL
-FL
Nurse PractitionerIL
Gastroenterology, Internal MedicineWI
P O D I A T R YIL
Hospitalist, Family PracticeTX
Diagnostic RadiologyNY
-IL

Reviews

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Frequently asked questions

What unique ID ties claims to BREANNA REGGUINTI?
NPI 1871002048 is assigned to BREANNA REGGUINTI under the national enumeration system.
Is BREANNA REGGUINTI's NPI currently valid?
The extract we use shows BREANNA REGGUINTI as active.
What field does BREANNA REGGUINTI work in?
You can think of BREANNA REGGUINTI as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does BREANNA REGGUINTI practice in Illinois?
You will see Morton, Illinois on file for BREANNA REGGUINTI 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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