DR. GLENN SCOTT BREITZIG (D.C., FNP-C) – Family Nurse Practitioner, NPI 1154305837

DR. GLENN SCOTT BREITZIG (D.C., FNP-C) is a healthcare provider. based in Columbia, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials D.C., FNP-C. They hold a License No. CH0008078 (FL). The NPI Number for DR. GLENN SCOTT BREITZIG (D.C., FNP-C) is 1154305837

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. GLENN SCOTT BREITZIG (D.C., FNP-C)
NPI
1154305837
Phone
(573) 777-8300
Address
3401 BERRYWOOD DR STE 300
Enumeration Date
6 December 2005
Last Update Date
5 June 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5737777500
Graduation Year
2018 (8 years ago)
PAC ID
1557417789
Group Practice PAC ID
4486548625
Professional Enrollment ID
I20190530002399
Address ID
MO652016425CO1805XSTXX401
Data current as of
10 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness85
Years active:20State licenses:2Digital endpointsOther names

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

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: 2019-05-30

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190530002399INurse PractitionerMOTBD

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.

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

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: 4486548625View full group profile
NameSpecialtyState
Mental Health CounselorMO
P S Y C H I A T R YMO
Mental Health CounselorMO
Psychiatry, NeuropsychiatryMO
-TX
-MO
-MO
Mental Health CounselorMO
Clinical PsychologistMO
Clinical PsychologistMO

Reviews

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Frequently asked questions

What is DR. GLENN SCOTT BREITZIG (D.C., FNP-C)'s NPI number?
DR. GLENN SCOTT BREITZIG (D.C., FNP-C)'s NPI is 1154305837 — the number used across U.S. healthcare to identify this provider.
Would DR. GLENN SCOTT BREITZIG (D.C., FNP-C) appear as active to a payer?
You can treat DR. GLENN SCOTT BREITZIG (D.C., FNP-C) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for DR. GLENN SCOTT BREITZIG (D.C., FNP-C)?
At a glance, DR. GLENN SCOTT BREITZIG (D.C., FNP-C) is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Missouri is DR. GLENN SCOTT BREITZIG (D.C., FNP-C) registered?
Use Columbia, Missouri as the headline location for DR. GLENN SCOTT BREITZIG (D.C., FNP-C) here.
What does 7 location(s) imply?
7 practice locations appear in the available data.

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