SUSAN R BREEDEN (FNP-C) – Nurse Practitioner, NPI 1821412925

SUSAN R BREEDEN (FNP-C) is a healthcare provider. based in Johnson city, Tennessee. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 18352 (TN). The NPI Number for SUSAN R BREEDEN (FNP-C) is 1821412925

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
SUSAN R BREEDEN (FNP-C)
NPI
1821412925
Phone
(423) 794-1800
Address
PO BOX 3889
Enumeration Date
10 February 2014
Last Update Date
6 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4235788451
Graduation Year
2013 (13 years ago)
PAC ID
8628201308
Group Practice PAC ID
9739099441
Professional Enrollment ID
I20140503000034
Address ID
TN376605882KI1905XWAYX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:12State licenses:2Digital endpointsOther names

10,728 NURSE PRACTITIONER in TN

Provider Addresses for SUSAN R BREEDEN (FNP-C)

  • PO BOX 3889

    JOHNSON CITY, TN 376023889

    Phone: (423) 794-1800

    Fax: (423) 794-1801

    Type: Mailing

  • 101 MED TECH PKWY STE 100

    JOHNSON CITY, TN 37604

    Phone: (423) 794-1800

    Fax: (423) 794-1801

    Type: Location

  • 1905 AMERICAN WAY

    KINGSPORT, TN 37660

    Phone: (423) 230-8200

    Type: Location

  • 1021 W OAKLAND AVE STE 310

    JOHNSON CITY, TN 376042192

    Phone: (423) 952-2111

    Type: Mailing

  • 101 Med Tech Pkwy Ste 100

    Johnson City, TN 37604

    Phone: (423) 794-1800

    Fax: (423) 794-1801

    Type: Location

  • 16000 Johnston Memorial Dr Ste 213

    Abingdon, VA 242110001

    Phone: (276) 258-2600

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 162 Open Payments records for all available years, with a total value of $2,483.

Total Amount is formed as General ($2,483) + Research ($0) + Ownership ($0) = $2,483.

Last reported payment date: 2024-10-29 • Largest payer in this snapshot: ABBVIE INC. ($509).

Total Amount

$2,483

General + Research + Ownership

Payments

162

Total payment records

General Amount

$2,483

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-29

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: 2025-04-07

PECOS data refreshed: 2026-06-15

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
I20140503000034INurse PractitionerTNTBD
I20250407003810INurse PractitionerVATBD

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 minutes24096$0
36415Insertion of needle into vein for collection of blood sample14665$0
80053Blood test, comprehensive group of blood chemicals12362$0
80061Blood test, lipids (cholesterol and triglycerides)11458$0
83036Hemoglobin a1c level5829$0
View full utilization report →

Insurance plans in this area (ZIP 37602)

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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: 9739099441View full group profile
NameSpecialtyState
Hospice/Palliative Care, Family Practice, Family Practice, Hospice/Palliative CareVA
N E U R O L O G YMD
-VA
Nurse PractitionerTN
-TN
Anesthesiology, Pain ManagementTN
Pediatric MedicineTN
-VA
N E P H R O L O G YVA
-TN

Reviews

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Frequently asked questions

How do I look up SUSAN R BREEDEN (FNP-C) by NPI?
Use NPI 1821412925 when you need to reference SUSAN R BREEDEN (FNP-C) in forms, claims, or directories.
Is SUSAN R BREEDEN (FNP-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize SUSAN R BREEDEN (FNP-C)'s specialty in plain language?
Clinically, the directory lists SUSAN R BREEDEN (FNP-C) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does SUSAN R BREEDEN (FNP-C) practice in Tennessee?
You will see Johnson City, Tennessee on file for SUSAN R BREEDEN (FNP-C) alongside any extra practice locations.
Is SUSAN R BREEDEN (FNP-C) a real provider?
This page reflects official NPPES data for NPI 1821412925. Always confirm identity and privileges with the practice and licensing boards.

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