MS. GINA LEISHA BROUSSARD FNP
NPI 1023564812
Nurse Practitioner - Family in Merced, CA

Q: What is Gina Broussard's NPI number?

The NPI number for Gina Broussard is 1023564812. It was assigned to this individual provider in the NPPES registry on August 31, 2016.

Q: What is Gina Broussard's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Gina Broussard was last updated on August 9, 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.

Active since August 31, 2016PECOS Enrolled

3349 G ST STE F, MERCED, CA 95340(209) 349-8459(209) 580-4671 Get Directions Write a Review

NPPES record last updated: August 9, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 9, 2024, Nov 30, 2022, Jun 27, 2020 and 1 more (4 updates tracked since 2016).

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About Ms. Gina Leisha Broussard Fnp NPPES

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

MS. GINA LEISHA BROUSSARD FNP (NPI 1023564812) is an individual family provider in Merced, California, licensed in California (565760) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023564812

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. GINA LEISHA BROUSSARDCredential: FNP

Location Address3349 G ST STE FMerced, CA 95340-0978

Mailing Address1154 Granite CtMerced, CA 95340-0675 · (209) 628-9204

Phone(209) 349-8459

Fax(209) 580-4671

Sole ProprietorYes

Enumeration DateAugust 31, 2016

Last NPPES UpdateAugust 9, 20244 updates tracked since enumeration

NPPES CertifiedAugust 9, 2024

✔ NPI 1023564812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 565760

3349 G ST STE F, Merced, CA 95340

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Gina Leisha Broussard Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Gina Broussard reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Timothy S. Johnston, M.D. PC

Same address

Bone Densitometry

3349 G ST STE B
Merced, CA 95340

Reassigned Medicare billing, California enrollment
Medicare enrollment name: Timothy S Johnston MD PC
17 clinicians in this Medicare group

NPI 1033614193 (209) 233-3715

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95340 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

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

1 supplier12 claims12 services$70.21 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers22 claims22 services$2.22 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers36 claims36 services$68.99 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$31.34 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

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

RONALD TRAYLOR PA-C

Physician Assistant