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Deactivated NPI 1356869507 Deactivated / Inactive NPI Male Practitioner

Samuel Breitner

Peer Specialist • Monroe, MI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Samuel Breitner has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 07, 2017
NPI Deactivation Date March 23, 2020
Total Practice Duration ~3 Years of Practice (2017 – 2020)

Professional Overview & Biography Verified Profile Summary

Samuel Breitner was a registered Peer Specialist practicing in Monroe, MI. Throughout an active medical career spanning 3 years, Samuel Breitner provided care at the practice location at 201 W FRONT ST until profile deactivation on 2020-03-23.

Practice Location & Contact Primary Location

Practice Address

201 W Front St

Monroe, MI 48161

Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Monroe, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
24 Specialists

Practicing in Monroe, MI (1765 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Teresa Roggow

Peer Specialist

NPI 1407380991
Britney Smith

Behavior Technician

NPI 1699216960
James Rye

Peer Specialist

NPI 1699216978
Chris Andreae

Peer Specialist

NPI 1760916191
Thomas Hall

Peer Specialist

NPI 1780192492

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 23, 2020

Record deactivated on March 23, 2020

NPI Profile Active September 07, 2017

NPI status registered as active in NPPES database

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Updated Practice Location September 07, 2017

Registered at 201 W FRONT ST, MONROE, MI 48161 (Tel: (734) 344-7633)

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Updated Business Mailing Address September 07, 2017

Registered at 201 W FRONT ST, MONROE, MI 481612355 (Tel: 7343447633)

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Provider Name / Credentials Updated September 07, 2017

Recorded as SAMUEL BREITNER

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 07, 2017

Peer Specialist

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Initial NPI Registration & Enumeration September 07, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1356869507
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 07, 2017
Last Update: September 07, 2017
Deactivation Date: March 23, 2020

Mailing Address

201 W Front St

Monroe, MI 481612355

Phone: 7343447633

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.