JAMIE L BREEDLOVE (CNP) – Adult Health Nurse Practitioner, NPI 1124415815

JAMIE L BREEDLOVE (CNP) is a healthcare provider. based in Tulsa, Oklahoma. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP. They hold a License No. 88900 (OK). The NPI Number for JAMIE L BREEDLOVE (CNP) is 1124415815

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
JAMIE L BREEDLOVE (CNP)
NPI
1124415815
Phone
(918) 579-3130
Address
1145 S UTICA AVE STE 202
Enumeration Date
20 April 2015
Last Update Date
17 March 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9184234661
Graduation Year
2014 (12 years ago)
PAC ID
9931410289
Group Practice PAC ID
1456883891
Professional Enrollment ID
I20160628001343
Address ID
OK745013600MC315XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

3,299 NURSE PRACTITIONER in OK

Provider Addresses for JAMIE L BREEDLOVE (CNP)

  • 1145 S UTICA AVE STE 202

    TULSA, OK 741044022

    Phone: (918) 579-3130

    Fax: (918) 579-3139

    Type: Mailing

  • 6802 S Olympia Ave W

    Ste 300

    Tulsa, OK 741321823

    Phone: (918) 749-0762

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $213.

Total Amount is formed as General ($213) + Research ($0) + Ownership ($0) = $213.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Janssen Biotech, Inc. ($139).

Total Amount

$213

General + Research + Ownership

Payments

10

Total payment records

General Amount

$213

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

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: 2016-06-28

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
I20160628001343INurse PractitionerOKTBD

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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes621312$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes429251$0
99497Advance care planning, first 30 minutes339280$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes249214$0
99315Nursing facility discharge day management, 30 minutes or less7573$0
View full utilization report →

Insurance plans in this area (ZIP 74104)

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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: 1456883891View full group profile
NameSpecialtyState
Nurse PractitionerIL
Nurse PractitionerOK
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

What unique ID ties claims to JAMIE L BREEDLOVE (CNP)?
NPI 1124415815 is assigned to JAMIE L BREEDLOVE (CNP) under the national enumeration system.
Does this profile mean JAMIE L BREEDLOVE (CNP) is currently active?
Yes — JAMIE L BREEDLOVE (CNP) appears active in the national provider directory.
Does JAMIE L BREEDLOVE (CNP) list a primary specialty?
If you are matching referrals, note Adult Health Nurse Practitioner for JAMIE L BREEDLOVE (CNP). Clinical services aligned with this taxonomy classification.
Where does public data place JAMIE L BREEDLOVE (CNP)?
The snapshot lists Tulsa, Oklahoma for JAMIE L BREEDLOVE (CNP); download NPPES for the complete set.
How can I contact JAMIE L BREEDLOVE (CNP)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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