Breanna Faith Clark, MSN, FPMHNP in Springfield, MO

Breanna Faith Clark, MSN, FPMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Springfield, Missouri. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Burrell, Inc. and her current practice location is 1300 E Bradford Pkwy, Springfield, Missouri. You can reach out to her office (for appointments etc.) via phone at (417) 761-5000.

Breanna Faith Clark is licensed to practice in Missouri (license number 2021023279) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1962088559.

Contact Information

	Breanna Faith Clark, MSN, FPMHNP
	1300 E Bradford Pkwy, Springfield, MO 65804-4264
	(417) 761-5000
	Not Available

Map and Direction

Provider's Profile

Full Name	Breanna Faith Clark
Gender	Female
Speciality	Nurse Practitioner
Experience	3 Years
Location	1300 E Bradford Pkwy, Springfield, Missouri
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Breanna Faith Clark graduated from nursing school in 2021

NPI Data:

NPI Number: 1962088559
Provider Enumeration Date: 03/23/2021
Last Update Date: 08/26/2022

Medicare PECOS Information:

PECOS PAC ID: 3173926151
Enrollment ID: I20210728002655

Medical Identifiers

Medical identifiers for Breanna Faith Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962088559	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	2018002924 (Missouri)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	2021023279 (Missouri)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Burrell, Inc.	4486548625	155

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Breanna Faith Clark allows following entities to bill medicare on her behalf.

Entity Name	Burrell, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275541740 PECOS PAC ID: 4486548625 Enrollment ID: O20040210000372

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Breanna Faith Clark is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Breanna Faith Clark, MSN, FPMHNP 1300 E Bradford Pkwy, Springfield, MO 65804-4264 Ph: (417) 761-5000	Breanna Faith Clark, MSN, FPMHNP 1300 E Bradford Pkwy, Springfield, MO 65804-4264 Ph: (417) 761-5000

Reviews and Comments

Nurse Practitioner Nurses in Springfield, MO

Ven Thi Lam, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2828 N National Ave, Springfield, MO 65803 Phone: 417-837-4000 Fax: 417-875-4720
Mrs. Erin Elizabeth Duvall, APRN, FNP-C, PMHNP-B Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1901 E Bennett - B, Springfield, MO 65804 Phone: 417-619-4129
Michelle Spencer, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2750 S Campbell Ave, Springfield, MO 65807 Phone: 417-269-2281 Fax: 417-269-2292
Mrs. Cassondra Dawn Simmoneau, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3800 S National Ave Ste 510, Springfield, MO 65807 Phone: 417-875-3000
Beverly Jo Gann, RNC,WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2828 N National Ave, Doctors Hospital Of Springfield, Specialty Clinic, Springfield, MO 65803 Phone: 417-837-4000 Fax: 417-875-4724
Ms. Jennifer L. Passanise, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1965 S Fremont Ave, Springfield, MO 65804 Phone: 417-820-5150 Fax: 417-820-5155
Sally R Schafer, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1423 N Jefferson Ave, Springfield, MO 65802 Phone: 417-269-4636 Fax: 417-269-7036

Breanna Faith Clark, MSN, FPMHNP - Medicare Nurse Practitioner in Springfield, MO