Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Breanne Checketts Martin

Individual provider Physician Assistant · NPI 1851024160

Mrs. Breanne Checketts Martin is a Physician Assistant in Longmeadow, Massachusetts. Qualified in 2024, 2 years ago. Offers telehealth. Licensed in Nevada.

Years since qualifying
2
Licensed in
NV
In the registry since
2022
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Practice location Address checks out

588 Longmeadow St
Longmeadow, MA 01106-2292
Phone: (413) 565-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA3076 (NV)

Record details

NPI number1851024160
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 5, 2022
Last updated in NPPESOctober 15, 2024
Certification dateOctober 15, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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