Breckenridge Wellness Clinic
NPI 1659200699ActiveOrganization· Nurse Practitioner, Family· Flagstaff, AZ
Nurse Practitioner, Family in Flagstaff, Arizona, registered in NPPES in May 2026. The authorized official on file is Heather Breckenridge, FNP-C, Medical Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1659200699 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 15, 2026 |
| Last updated in NPPES | Aug 11, 2026 |
| Certified by provider | Aug 11, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AZ) |
|---|
Other Nurse Practitioner, Family providers in Flagstaff
- 1659915635
- 1568055457
- 1225920705
- 1962549113
- 1245525914
- 1548995723
- 1508287665
- 1376911925
- 1104463330
- 1578797122
- 1407500705
- 1629176052