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DR. JULIANNE M WYSOCKI BROADWATER D.O.
NPI 1124255203
Emergency Medicine in Daytona Beach, FL

Active since June 16, 2009PECOS EnrolledAccepts Medicare Assignment
303 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114(386) 425-2285(386) 425-7522 Get Directions Write a Review

NPPES record last updated: September 29, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 29, 2021, Sep 24, 2021, Jan 30, 2020 and 1 more (4 updates tracked since 2019).

About Dr. Julianne M Wysocki Broadwater D.o. NPPES

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

DR. JULIANNE M WYSOCKI BROADWATER D.O. (NPI 1124255203) is an individual emergency medicine provider in Daytona Beach, Florida, licensed in Florida (OS16421) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS, is affiliated with Halifax Health Medical Center, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1124255203
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. JULIANNE M WYSOCKI BROADWATERCredential: D.O.
Location Address303 N CLYDE MORRIS BLVDDaytona Beach, FL 32114-2709
Mailing Address303 N Clyde Morris BlvdDaytona Beach, FL 32114-2709 · (386) 226-4590 · Fax (386) 226-4577
Phone(386) 425-2285
Fax(386) 425-7522
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJune 16, 2009
Last NPPES UpdateSeptember 29, 20214 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2021
✔ NPI 1124255203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in FL · OS16421
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedInternal MedicineTaxonomy 207R00000X · License OS16421 (FL)
Also ListedHospitalistTaxonomy 208M00000X · License OS16421 (FL)
303 N CLYDE MORRIS BLVD, Daytona Beach, FL 32114
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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

Dr. Julianne M Wysocki Broadwater D.o. 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 ID2466670294
PECOS Enrollment IDI20200130002558, I20250923003915, I20251002001829
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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
150 services147 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
54 services54 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
19 services18 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Halifax Health Medical Center

Acute Care Hospitals · Daytona Beach, FL
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100017
Location303 N Clyde Morris BlvdDaytona Beach, FL 32114 · Volusia County
Emergency services Birthing friendly

Halifax Health /Uf Health Medical Center Of Delton

Acute Care Hospitals · Deltona, FL
OwnershipGovernment - Local
CMS Certification Number100330
Location3300 Halifax Crossings BlvdDeltona, FL 32725 · Volusia County
Emergency services

Valley Regional Hospital

Critical Access Hospitals · Claremont, NH
OwnershipVoluntary non-profit - Private
CMS Certification Number301308
Location243 Elm StreetClaremont, NH 03743 · Sullivan County
Emergency services

Monadnock Community Hospital

Critical Access Hospitals · Peterborough, NH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number301309
Location452 Old Street RoadPeterborough, NH 03458 · Hillsborough County
Emergency services Birthing friendly

Brattleboro Memorial Hospital

Acute Care Hospitals · Brattleboro, VT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number470011
Location17 Belmont AveBrattleboro, VT 05301 · Windham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32114 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 20

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

ANGELICA DIEZ
Physician Assistant
303 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114
Volusia County (386) 425-4000
SAVANNA HANH DUONG PA-C
Physician Assistant
303 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114
Volusia County (877) 842-5432
RADIATION ONCOLOGY ASSOCIATES OF CENTRAL FLORIDA,PA
Radiology (Radiation Oncology)
303 N CLYDE MORRIS BLVD, ROC GROUND FLOOR
DAYTONA BEACH, FL 32114
Volusia County (386) 254-4220
DR. RICHARD CARL WEISS MD
Internal Medicine (Hematology & Oncology)
303 N CLYDE MORRIS BLVD, HALIFAX REGIONAL ONCOLOGY CENTER
DAYTONA BEACH, FL 32114
Volusia County (386) 254-4212
ALEXANDRA CROSSMAN MD
Internal Medicine (Infectious Disease)
303 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114
Volusia County (386) 589-5741
ARMANDO FERNANDEZ PA
Physician Assistant (Medical)
303 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114
Volusia County (386) 254-4000
ALEXANDRA CROSSMAN MD PA
Internal Medicine (Infectious Disease)
303 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114
Volusia County (386) 589-5741
NICHOLAS WILLIAM METAKES CRNA
Nurse Anesthetist, Certified Registered
303 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114
Volusia County (386) 254-4000

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 Julianne Wysocki Broadwater's NPI number?

The NPI number for Julianne Wysocki Broadwater is 1124255203. It was assigned to this individual provider in the NPPES registry on June 16, 2009.

Where is Julianne Wysocki Broadwater located?

Julianne Wysocki Broadwater practices at 303 N Clyde Morris Blvd, Daytona Beach, FL 32114. The listed phone number is (386) 425-2285.

What is Julianne Wysocki Broadwater's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Julianne Wysocki Broadwater enrolled in Medicare?

Yes. Julianne Wysocki Broadwater 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.

Is Julianne Wysocki Broadwater affiliated with any hospitals?

According to CMS data, Julianne Wysocki Broadwater is affiliated with Halifax Health Medical Center, Halifax Health /Uf Health Medical Center Of Delton, Valley Regional Hospital, Monadnock Community Hospital and Brattleboro Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Julianne Wysocki Broadwater was last updated on September 29, 2021. 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.