1. Home
  2. Directory
  3. Virginia
  4. Aylett
  5. Nurse Practitioner
  6. NPI Profile

LATRICIA BROADDUS
NPI 1003383688
Nurse Practitioner - Psychiatric/Mental Health in Aylett, VA

Active since October 31, 2018PECOS EnrolledAccepts Medicare Assignment
5833 RICHMOND TAPPAHANNOCK HWY STE 106B, AYLETT, VA 23009(042) 230-0298 Get Directions Write a Review

NPPES record last updated: March 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 6, 2024, Jan 7, 2022, Jul 1, 2021 and 2 more (5 updates tracked since 2018).

About Latricia Broaddus NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LATRICIA BROADDUS (NPI 1003383688) is an individual psychiatric/mental health provider in Aylett, Virginia, licensed in Virginia (0024181570) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1003383688
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameLATRICIA BROADDUS
Location Address5833 RICHMOND TAPPAHANNOCK HWY STE 106BAylett, VA 23009-3007
Mailing AddressPo Box 13Saint Stephens Church, VA 23148-0013 · (804) 664-2271
Phone(042) 230-0298
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 31, 2018
Last NPPES UpdateMarch 6, 20245 updates tracked since enumeration
NPPES CertifiedMarch 6, 2024
✔ NPI 1003383688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in VA · 0024181570
Also ListedIn Home Supportive CareTaxonomy 253Z00000X
5833 RICHMOND TAPPAHANNOCK HWY STE 106B, Aylett, VA 23009
Open in Google Maps ↗

Other Identifiers 1

Medicaid0732762767VA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Latricia Broaddus is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294132148
PECOS Enrollment IDI20210921000794
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
100 services28 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
94 services24 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23009 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

A WEBB OF FAMILY TIES, LLC
Community/Behavioral Health
5833 RICHMOND TAPPAHANNOCK HWY STE 106B
AYLETT, VA 23009
King William County (804) 296-7159
ITS ALL ABOUT CARING LLC
Nurse Practitioner (Psychiatric/Mental Health)
5833 RICHMOND TAPPAHANNOCK HWY STE 106B
AYLETT, VA 23009
King William County (804) 223-0029

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Latricia Broaddus's NPI number?

The NPI number for Latricia Broaddus is 1003383688. It was assigned to this individual provider in the NPPES registry on October 31, 2018.

Where is Latricia Broaddus located?

Latricia Broaddus practices at 5833 Richmond Tappahannock Hwy Ste 106B, Aylett, VA 23009. The listed phone number is (042) 230-0298.

What is Latricia Broaddus's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Latricia Broaddus enrolled in Medicare?

Yes. Latricia Broaddus is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Latricia Broaddus accept?

Health plans from Providence Health Plan list Latricia Broaddus as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Latricia Broaddus was last updated on March 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.