DR. GLENN SCOTT BREITZIG (D.C., FNP-C) – Family Nurse Practitioner, NPI 1154305837
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,023 NURSE PRACTITIONER in MO
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Provider Addresses for DR. GLENN SCOTT BREITZIG (D.C., FNP-C)
Berrywood Drive, Columbia, Boone County, Missouri, 65201, United States
COLUMBIA, MO 652016515
Phone: (573) 777-8300
Fax: (239) 332-2145
Type: Mailing
Burrell Behavioral Health, 1300, East Bradford Parkway, Springfield, Greene County, Missouri, 65804, United States
SPRINGFIELD, MO 658044294
Phone: (417) 761-5000
Fax: (417) 761-5011
Type: Location
3401 BERRYWOOD DR
COLUMBIA, MO 652018372
Phone: (573) 777-8330
Type: Location
4231 S Hocker Dr
Independence, MO 640554723
Phone: (816) 254-3652
Type: Location
7447 Holmes Rd
Kansas City, MO 641311691
Phone: (816) 836-6720
Type: Location
90 E Leslie Ln
Columbia, MO 652021589
Phone: (573) 875-8880
Type: Location
1805 E Walnut St
Columbia, MO 652016425
Phone: (573) 777-7500
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $230.
Total Amount is formed as General ($230) + Research ($0) + Ownership ($0) = $230.
Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Axsome Therapeutics, Inc. ($203).
Total Amount
$230
General + Research + Ownership
Payments
3
Total payment records
General Amount
$230
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Axsome Therapeutics, Inc. | $203 |
| E.R. Squibb & Sons, L.L.C. | $27 |
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: 2019-05-30
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190530002399 | I | Nurse Practitioner | MO | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 65201)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | MO | |
| P S Y C H I A T R Y | MO | |
| Mental Health Counselor | MO | |
| Psychiatry, Neuropsychiatry | MO | |
| - | TX | |
| - | MO | |
| - | MO | |
| Mental Health Counselor | MO | |
| Clinical Psychologist | MO | |
| Clinical Psychologist | MO |
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