ANNETTE BROERSMA NP-C
NPI 1043300791
Nurse Practitioner in Grand Rapids, MI

Q: What is Annette Broersma's NPI number?

The NPI number for Annette Broersma is 1043300791. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Q: What is Annette Broersma's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Annette Broersma was last updated on March 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 October 13, 2006

221 MICHIGAN ST NE, SUITE 200, GRAND RAPIDS, MI 49503(616) 486-6538 Get Directions Write a Review

NPPES record last updated: March 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2022, Feb 16, 2021 (2 updates tracked since 2021).

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About Annette Broersma Np-c NPPES

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

ANNETTE BROERSMA NP-C (NPI 1043300791) is an individual nurse practitioner in Grand Rapids, Michigan, licensed in Michigan (4704141380) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1043300791

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameANNETTE BROERSMACredential: NP-C

Location Address221 MICHIGAN ST NE, SUITE 200Grand Rapids, MI 49503-2543

Mailing Address100 Michigan St Ne, Mc 845Grand Rapids, MI 49503-2560 · (616) 486-6790 · Fax (616) 486-6702

Phone(616) 486-6538

Sole ProprietorNo

Enumeration DateOctober 13, 2006

Last NPPES UpdateMarch 7, 20222 updates tracked since enumeration

NPPES CertifiedMarch 7, 2022

✔ NPI 1043300791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MI · 4704141380

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

221 MICHIGAN ST NE, Grand Rapids, MI 49503

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Other Providers at the Same Location NPPES 20

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

ROBERT W SELFE D.O.

Internal Medicine

221 MICHIGAN ST NE, SUITE 200
GRAND RAPIDS, MI 49503

Kent County (616) 267-8950

AMY ROBINSON-DEFOUW MA, RD, CDE

Dietitian, Registered

221 MICHIGAN ST NE, SUITE 200
GRAND RAPIDS, MI 49503

Kent County (616) 267-8950

MEGAN MATER M.D.

Surgery

221 MICHIGAN ST NE
GRAND RAPIDS, MI 49503

Kent County (616) 391-1909

DR. NATHAN POMEROY MD, MPH

Internal Medicine (Endocrinology, Diabetes & Metabolism)

221 MICHIGAN ST NE, SUITE 200
GRAND RAPIDS, MI 49503

Kent County (616) 284-8950

REBECCA RAAB PA-C

Physician Assistant

221 MICHIGAN ST NE, SUITE 200
GRAND RAPIDS, MI 49503

Kent County (616) 267-8950

FRED A ROHN M.D.

Obstetrics & Gynecology

221 MICHIGAN ST NE, SUITE 600
GRAND RAPIDS, MI 49503

Kent County (616) 774-7035

LISA W MILLER MA

Audiologist

221 MICHIGAN ST NE, SUITE 200
GRAND RAPIDS, MI 49503

Kent County (616) 391-2862

DR. ZACHARY IAN LOVE D.O.

Orthopaedic Surgery

221 MICHIGAN ST NE, SUITE 406
GRAND RAPIDS, MI 49503

Kent County (616) 391-5701

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 Annette Broersma's NPI number?

The NPI number for Annette Broersma is 1043300791. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is Annette Broersma located?

Annette Broersma practices at 221 Michigan St NE Suite 200, Grand Rapids, MI 49503. The listed phone number is (616) 486-6538.

What is Annette Broersma's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Annette Broersma was last updated on March 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.