BREANNE ELIZABETH BISSET (NP) – Gerontology Nurse Practitioner, NPI 1104502012

BREANNE ELIZABETH BISSET (NP) is a healthcare provider. based in Ellsworth, Maine. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. CNP231340 (ME). The NPI Number for BREANNE ELIZABETH BISSET (NP) is 1104502012

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
BREANNE ELIZABETH BISSET (NP)
NPI
1104502012
Phone
Not provided
Address
32 RESORT WAY
Enumeration Date
26 June 2023
Last Update Date
26 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2023 (3 years ago)
PAC ID
7315308939
Group Practice PAC ID
1052208113
Professional Enrollment ID
I20230731000195
Address ID
ME046051534EL50XXXSTXX300
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

1,869 NURSE PRACTITIONER in ME

Provider Addresses for BREANNE ELIZABETH BISSET (NP)

  • 32 RESORT WAY

    ELLSWORTH, ME 04605

    Phone:

    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: 2023-07-31

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
I20230731000195INurse PractitionerMETBD

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
99214Established patient office or other outpatient visit, 30-39 minutes3330$0
99213Established patient office or other outpatient visit, 20-29 minutes1211$0
99215Established patient office or other outpatient visit, 40-54 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 04605)

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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: 1052208113View full group profile
NameSpecialtyState
-ME
-ME
Cardiovascular Disease (Cardiology), Internal MedicineME
Pain Management, AnesthesiologyME
Physician AssistantME
Certified Registered Nurse Anesthetist (Crna)OH
General SurgeryFL
O B S T E T R I C S/ G Y N E C O L O G YME
Internal MedicineME
-ME

Reviews

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Frequently asked questions

How is BREANNE ELIZABETH BISSET (NP) identified in CMS data?
CMS-hosted NPPES data lists BREANNE ELIZABETH BISSET (NP) with NPI 1104502012.
Does CMS list BREANNE ELIZABETH BISSET (NP) as active?
Yes — BREANNE ELIZABETH BISSET (NP) is active in the NPI listing used on this page.
What taxonomy line describes BREANNE ELIZABETH BISSET (NP)?
For research purposes, treat BREANNE ELIZABETH BISSET (NP) as Gerontology Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What area does BREANNE ELIZABETH BISSET (NP) serve?
BREANNE ELIZABETH BISSET (NP)'s listing highlights Ellsworth, Maine; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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