MRS. KRISTEN L BROOM RN, FNP
NPI 1073502969
Nurse Practitioner - Family in Windsor Mill, MD

Active since October 14, 2005PECOS EnrolledAccepts Medicare Assignment
6901 SECURITY BLVD STE 200, WINDSOR MILL, MD 21244(410) 837-2050 Get Directions Write a Review

NPPES record last updated: January 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 21, 2023, Oct 27, 2023, Feb 1, 2023 and 1 more (4 updates tracked since 2022).

About Mrs. Kristen L Broom Rn, Fnp NPPES

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

MRS. KRISTEN L BROOM RN, FNP (NPI 1073502969) is an individual family provider in Windsor Mill, Maryland, licensed in Maryland (R209609) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1073502969
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KRISTEN L BROOMCredential: RN, FNP
Location Address6901 SECURITY BLVD STE 200Windsor Mill, MD 21244-2412
Mailing Address1111 N Charles StBaltimore, MD 21201-5505 · (410) 837-2050
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateOctober 14, 2005
Last NPPES UpdateJanuary 11, 20244 updates tracked since enumeration
NPPES CertifiedJanuary 11, 2024
NPI 1073502969 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 MD · R209609
6901 SECURITY BLVD STE 200, Windsor Mill, MD 21244

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

Mrs. Kristen L Broom Rn, Fnp 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 ID6709890965
PECOS Enrollment IDI20220317001035
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21244 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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 19

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

Nurse Practitioner (Adult Health)
6901 SECURITY BLVD STE 200
BALTIMORE, MD 21244
Family Medicine
6901 SECURITY BLVD STE 200
WINDSOR MILL, MD 21244
Nurse Practitioner (Family)
6901 SECURITY BLVD STE 200
WINDSOR MILL, MD 21244
Nurse Practitioner (Family)
6901 SECURITY BLVD STE 200
WINDSOR MILL, MD 21244
Nurse Practitioner (Family)
6901 SECURITY BLVD STE 200
WINDSOR MILL, MD 21244
Counselor (Mental Health)
6901 SECURITY BLVD STE 200
WINDSOR MILL, MD 21244
Dental Hygienist
6901 SECURITY BLVD STE 200
BALTIMORE, MD 21244
Counselor (Mental Health)
6901 SECURITY BLVD STE 200
BALTIMORE, MD 21244

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 Kristen Broom's NPI number?

The NPI number for Kristen Broom is 1073502969. It was assigned to this individual provider in the NPPES registry on October 14, 2005.

Where is Kristen Broom located?

Kristen Broom practices at 6901 Security Blvd Ste 200, Windsor Mill, MD 21244. The listed phone number is (410) 837-2050.

What is Kristen Broom's specialty?

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

Is Kristen Broom enrolled in Medicare?

Yes. Kristen Broom 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.

When was this NPI record last updated?

The NPPES record for Kristen Broom was last updated on January 11, 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.