BREEANNA MCCARTHY (AGPCNP-BC) – Gerontology Nurse Practitioner, NPI 1609252410

BREEANNA MCCARTHY (AGPCNP-BC) is a healthcare provider. based in Woodbury, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials AGPCNP-BC. They hold a License No. CNP 4046 (MN). The NPI Number for BREEANNA MCCARTHY (AGPCNP-BC) is 1609252410

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
BREEANNA MCCARTHY (AGPCNP-BC)
NPI
1609252410
Phone
(651) 232-6700
Address
1825 WOODWINDS DR
Enumeration Date
4 August 2015
Last Update Date
10 May 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9529933123
Graduation Year
2015 (11 years ago)
PAC ID
5799084265
Group Practice PAC ID
7911819438
Professional Enrollment ID
I20180915000012
Address ID
MN554162527ST3850XBLVD400
Telehealth
Yes

Contacts

Other Endpoint
Woodbury
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness85
Years active:10State licenses:1Other namesUpdated within 12 months

5,720 NURSE PRACTITIONER in MN

Provider Addresses for BREEANNA MCCARTHY (AGPCNP-BC)

  • 1825 WOODWINDS DR

    WOODBURY, MN 551252202

    Phone: (651) 232-6700

    Type: Mailing

  • 1406 6TH AVE N

    SAINT CLOUD, MN 563031900

    Phone: (320) 251-2700

    Type: Mailing

  • 1406 6th Ave N

    Saint Cloud, MN 563031900

    Phone: (320) 251-2700

    Type: Location

  • 4801 Veterans Dr

    Saint Cloud, MN 563032015

    Phone: (320) 252-1670

    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: 2026-02-19

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
I20180915000012INurse PractitionerMNTBD
I20260219000896INurse PractitionerWITBD

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 minutes258113$0
36415Insertion of needle into vein for collection of blood sample200103$0
80053Blood test, comprehensive group of blood chemicals12084$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count11986$0
83036Hemoglobin a1c level9060$0
View full utilization report →

Insurance plans in this area (ZIP 55125)

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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: 7911819438View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMN
Family PracticeMN
-MN
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineMN
Cardiac ElectrophysiologyMN
Family PracticeMN
Physician AssistantMN
Physical Therapist In Private PracticeMN
Physician AssistantMN
D E R M A T O L O G YMN

Reviews

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Frequently asked questions

Does BREEANNA MCCARTHY (AGPCNP-BC) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — BREEANNA MCCARTHY (AGPCNP-BC) uses 1609252410.
Does the file indicate BREEANNA MCCARTHY (AGPCNP-BC) is practicing under active NPI?
Directory data currently reports BREEANNA MCCARTHY (AGPCNP-BC) as active.
What is BREEANNA MCCARTHY (AGPCNP-BC) best known for clinically?
Directory data describes BREEANNA MCCARTHY (AGPCNP-BC) with Gerontology Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does BREEANNA MCCARTHY (AGPCNP-BC) serve?
BREEANNA MCCARTHY (AGPCNP-BC)'s listing highlights Woodbury, Minnesota; 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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