NICOLETTE BROBY FNP
NPI 1235641382
Nurse Practitioner - Family in Show Low, AZ

Q: What is Nicolette Broby's NPI number?

The NPI number for Nicolette Broby is 1235641382. It was assigned to this individual provider in the NPPES registry on October 30, 2017.

Q: What is Nicolette Broby's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nicolette Broby was last updated on March 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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 30, 2017PECOS EnrolledAccepts Medicare Assignment

2200 E SHOW LOW LAKE RD, SHOW LOW, AZ 85901(928) 537-4375 Get Directions Write a Review

NPPES record last updated: March 2, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 2, 2026, Apr 19, 2018, Oct 30, 2017 (3 updates tracked since 2017).

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About Nicolette Broby Fnp NPPES

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

NICOLETTE BROBY FNP (NPI 1235641382) is an individual family provider in Show Low, Arizona, licensed in Arizona (AP10733) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Buckeye, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1235641382

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameNICOLETTE BROBYCredential: FNP

Location Address2200 E SHOW LOW LAKE RDShow Low, AZ 85901-7831

Mailing Address1901 W Deuce Of Clubs Apt 217Show Low, AZ 85901-6957 · (480) 862-2420

Phone(928) 537-4375

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateOctober 30, 2017

Last NPPES UpdateMarch 2, 20263 updates tracked since enumeration

NPPES CertifiedMarch 2, 2026

✔ NPI 1235641382 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 AZ · AP10733✔ Licensed in AK · 203390

2200 E SHOW LOW LAKE RD, Show Low, AZ 85901

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Secondary Practice Location 1

Location 12327 N Beverly PlBuckeye, AZ 85396-1787 · Phone (480) 862-2420

Other Identifiers 1

Medicaid1739789AK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Moda Health Plan, Inc., Oscar Health Plan, Inc. and more.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

Nicolette Broby 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 ID345500674

PECOS Enrollment IDI20240718001731

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 2

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.

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

18 services14 patients

Blood test, comprehensive group of blood chemicals 80053

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

17 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85901 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

FANCY ANESTHESIA SERVICES INC

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