BREANNA LANE BIRD (CNP) – Family Nurse Practitioner, NPI 1104308758

BREANNA LANE BIRD (CNP) is a healthcare provider. based in Cincinnati, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP. They hold a License No. 023338 (OH). The NPI Number for BREANNA LANE BIRD (CNP) is 1104308758

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
BREANNA LANE BIRD (CNP)
NPI
1104308758
Phone
(513) 975-0377
Address
7200 BLUE ASH RD
Enumeration Date
30 August 2018
Last Update Date
8 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5139814050
Graduation Year
2017 (9 years ago)
PAC ID
1052665130
Group Practice PAC ID
6406232230
Professional Enrollment ID
I20181107002775
Address ID
OH451504940MI1064X28XX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

14,989 NURSE PRACTITIONER in OH

Provider Addresses for BREANNA LANE BIRD (CNP)

  • 7200 BLUE ASH RD

    CINCINNATI, OH 452363626

    Phone: (513) 975-0377

    Type: Mailing

  • 7200 Blue Ash Rd

    Cincinnati, OH 452363626

    Phone: (513) 975-0377

    Type: Location

  • 1064 State Route 28 Ste F

    Milford, OH 451504940

    Phone: (513) 981-4050

    Fax: (513) 322-4859

    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: 2018-11-07

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
I20181107002775INurse PractitionerOHTBD

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 45236)

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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: 6406232230View full group profile
NameSpecialtyState
Internal MedicineOH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH
Physician AssistantOH
Nurse PractitionerOH
Physician AssistantOH
Nurse PractitionerOH
Physician AssistantKY
General PracticeOH

Reviews

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Frequently asked questions

Can I use this page to confirm BREANNA LANE BIRD (CNP)'s NPI?
Yes. BREANNA LANE BIRD (CNP) is listed with NPI 1104308758 in the public NPI dataset.
Is BREANNA LANE BIRD (CNP) still practicing?
BREANNA LANE BIRD (CNP) is currently listed as active in the public NPI registry.
What taxonomy line describes BREANNA LANE BIRD (CNP)?
For research purposes, treat BREANNA LANE BIRD (CNP) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect BREANNA LANE BIRD (CNP) on a map?
Expect Cincinnati, Ohio as a primary anchor for BREANNA LANE BIRD (CNP) unless the record lists multiple sites.
Why does BREANNA LANE BIRD (CNP) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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