Krystine Amber Breedlove, ACNPC-AG
Krystine Amber Breedlove, ACNPC-AG is a Nurse Practitioner in Fond Du Lac, Wisconsin. Qualified in 2020, 6 years ago. Practices with Banner Hospital Based Physicians Arizona LLC, a 641-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Arizona and Wisconsin.
- Years since qualifying
- 6
- Licensed in
- AZ, WI
- In the registry since
- 2020
- Specialties on file
- 4
Practice location Address checks out
210 Wisconsin American DrFond Du Lac, WI 54937-2999
Phone: (920) 907-7500
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (2)
- 10401 W Thunderbird Blvd, Sun City, AZ 85351-3004 — (623) 832-4728
- 14502 W Meeker Blvd, Sun City West, AZ 85375-5282 — (623) 524-8814
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence 249005 (AZ) |
|---|---|
| Acute Care Nurse Practitioner | Taxonomy 363LA2100X · Licence 249005 (AZ) |
| Nurse Practitioner | Taxonomy 363L00000X · Licence 17458-33 (WI) |
| Registered Nurse | Taxonomy 163W00000X · Licence RN201982 (AZ) |
Record details
| NPI number | 1376146910 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | ACNPC-AG |
| Sole proprietor | No |
| NPI enumerated | November 17, 2020 |
| Last updated in NPPES | February 24, 2026 |
| Certification date | February 24, 2026 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Group practice | Banner Hospital Based Physicians Arizona Llc — 641 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Fond Du Lac
-
Mrs. Melanie M. Bloedorn-Hansen, APNP
430 E Division St, Fond Du Lac, WI 54935-4560 · (920) 926-8340
-
Jeanna M Schacht, APNP
420 E Division St, Fond Du Lac, WI 54935-4560 · (920) 926-8573
-
Billie A Sturgeon, NP
430 E Division St, Fond Du Lac, WI 54935-4560 · (920) 926-8332