MRS. JAMILIA LASHAWN BROUSSARD MSN RN FNP-BC WCC
NPI 1184122145
Nurse Practitioner - Family in Ardmore, OK

Active since January 24, 2018PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1001 12TH AVE NW, ARDMORE, OK 73401(580) 220-6290(580) 220-6215 Get Directions Write a Review

NPPES record last updated: August 3, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 3, 2021, May 26, 2020 (2 updates tracked since 2020).

About Mrs. Jamilia Lashawn Broussard Msn Rn Fnp-bc Wcc NPPES

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

MRS. JAMILIA LASHAWN BROUSSARD MSN RN FNP-BC WCC (NPI 1184122145) is an individual family provider in Ardmore, Oklahoma, licensed in Texas (AP136689) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS, is affiliated with Cape Fear Valley Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1184122145
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. JAMILIA LASHAWN BROUSSARDCredential: MSN RN FNP-BC WCC
Location Address1001 12TH AVE NWArdmore, OK 73401-5712
Mailing AddressPo Box 678219Dallas, TX 75267-8219 · (214) 970-6817 · Fax (844) 803-4513
Fax(580) 220-6215
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 24, 2018
Last NPPES UpdateAugust 3, 20212 updates tracked since enumeration
NPPES CertifiedAugust 3, 2021
NPI 1184122145 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
Licenses Licensed in TX · AP136689 Licensed in TX · 821209
1001 12TH AVE NW, Ardmore, OK 73401

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 and accepts Medicare assignment

Mrs. Jamilia Lashawn Broussard Msn Rn Fnp-bc Wcc 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 ID6800144916
PECOS Enrollment IDI20220805000516
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 10

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.

Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
720 services169 patients
Removal of skin and tissue, each additional 20.0 sq cm or less 11045
This procedure involves the removal of skin and tissue, typically due to disease, injury, or abnormal growth. Each session removes an area of 20.0 square cm or less. It's performed by a trained professional and may require multiple sessions for larger areas.
250 services33 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
183 services101 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
154 services78 patients
Management of oxygen chamber therapy 99183
Oxygen chamber therapy involves breathing pure oxygen in a pressurized room or tube. It's used to treat various conditions like wounds that won't heal due to diabetes or radiation injury. In this therapy, your body's tissues get more oxygen to promote healing and fight infection.
137 services12 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
94 services85 patients

Hospital Affiliations CMS Care Compare 2

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

Cape Fear Valley Medical Center

Acute Care Hospitals · Fayetteville, NC
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340028
Location1638 Owen Drive P O Box 2000Fayetteville, NC 28302 · Cumberland County
Emergency services Birthing friendly

Firsthealth Moore Regional Hospital

Acute Care Hospitals · Pinehurst, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340115
Location155 Memorial DrivePinehurst, NC 28374 · Moore County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73401 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES

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

Rehabilitation Unit
1001 12TH AVE NW
ARDMORE, OK 73401

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 Jamilia Broussard's NPI number?

The NPI number for Jamilia Broussard is 1184122145. It was assigned to this individual provider in the NPPES registry on January 24, 2018.

Where is Jamilia Broussard located?

Jamilia Broussard practices at 1001 12th Ave NW, Ardmore, OK 73401. The listed phone number is (580) 220-6290.

What is Jamilia Broussard's specialty?

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

Is Jamilia Broussard enrolled in Medicare?

Yes. Jamilia Broussard 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.

What insurance does Jamilia Broussard accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Jamilia Broussard 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.

Is Jamilia Broussard affiliated with any hospitals?

According to CMS data, Jamilia Broussard is affiliated with Cape Fear Valley Medical Center and Firsthealth Moore Regional Hospital.

When was this NPI record last updated?

The NPPES record for Jamilia Broussard was last updated on August 3, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.