TRACI L BROIDRICK CRNP
NPI 1154624732
Nurse Practitioner - Family in Allentown, PA

Active since December 21, 2010PECOS Enrolled
1200 S CEDAR CREST BLVD, ALLENTOWN, PA 18103(610) 402-8111(610) 402-1698 Get Directions Write a Review

NPPES record last updated: May 19, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 19, 2016, Dec 23, 2015 (2 updates tracked since 2015).

About Traci L Broidrick Crnp NPPES

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

TRACI L BROIDRICK CRNP (NPI 1154624732) is an individual family provider in Allentown, Pennsylvania, licensed in Pennsylvania (SP011049) and active in the NPI registry since December 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154624732
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTRACI L BROIDRICKCredential: CRNP
Location Address1200 S CEDAR CREST BLVDAllentown, PA 18103-6202
Mailing AddressPo Box 783311Philadelphia, PA 19178-3311
Fax(610) 402-1698
Sole ProprietorNo
Enumeration DateDecember 21, 2010
Last NPPES UpdateMay 19, 20162 updates tracked since enumeration
NPI 1154624732 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 PA · SP011049
1200 S CEDAR CREST BLVD, Allentown, PA 18103

Other Names 1

Former Name (1)Traci L Wagner

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Traci L Broidrick Crnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18103 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Hospitalist
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Hospitalist
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Internal Medicine
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Nurse Anesthetist, Certified Registered
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Student in an Organized Health Care Education/Training Program
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Pediatrics
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Emergency Medicine
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Radiology (Diagnostic Radiology)
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103

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 Traci Broidrick's NPI number?

The NPI number for Traci Broidrick is 1154624732. It was assigned to this individual provider in the NPPES registry on December 21, 2010. The provider is also known as Traci L Wagner.

Where is Traci Broidrick located?

Traci Broidrick practices at 1200 S Cedar Crest Blvd, Allentown, PA 18103. The listed phone number is (610) 402-8111.

What is Traci Broidrick's specialty?

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

Is Traci Broidrick enrolled in Medicare?

Yes. Traci Broidrick is registered in the Medicare PECOS enrollment system.

What insurance does Traci Broidrick accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Traci Broidrick 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 Traci Broidrick was last updated on May 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.