KATHLEEN BRODERICK NP
NPI 1255732293
Nurse Practitioner - Family in North Reading, MA
About Kathleen Broderick Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHLEEN BRODERICK NP (NPI 1255732293) is an individual family provider in North Reading, Massachusetts, licensed in Massachusetts (RN282504) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kathleen Broderick Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Kathleen Broderick reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
North Reading, MA 01864
- Reassigned Medicare billing, Massachusetts enrollment
Lowell, MA 01854
- Reassigned Medicare billing, Massachusetts enrollment
- 109 clinicians in this Medicare group
Watertown, MA 02472
- Reassigned Medicare billing, Massachusetts enrollment
- 991 clinicians in this Medicare group
Ayer, MA 01432
- Reassigned Medicare billing, Massachusetts enrollment
- 290 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 01864 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
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 Kathleen Broderick's NPI number?
The NPI number for Kathleen Broderick is 1255732293. It was assigned to this individual provider in the NPPES registry on September 9, 2014. The provider is also known as Kathleen Logan.
Where is Kathleen Broderick located?
Kathleen Broderick practices at 135 Main St Ste 206, North Reading, MA 01864. The listed phone number is (617) 905-1978.
What is Kathleen Broderick's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kathleen Broderick enrolled in Medicare?
Yes. Kathleen Broderick is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kathleen Broderick's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Broderick reassigns Medicare benefits to 4 organizations: Broderick Healthcare PLLC (North Reading, MA), Lowell General Inpatient Specialists PLLC (Lowell, MA), Steward Medical Group, Inc (Watertown, MA) and Steward Emergency Physicians, Inc (Ayer, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kathleen Broderick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kathleen Broderick was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Kathleen Broderick, NP · NPI 1255732293
Family physician in North Reading, Massachusetts. Individual provider, active in the CMS NPPES registry since September 9, 2014.
## Identity
- **NPI:** 1255732293 (Entity type: Individual)
- **Enumerated:** September 9, 2014
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN282504 (Massachusetts)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 135 MAIN ST STE 206, North Reading, MA 01864-2280
- **Phone:** (617) 905-1978
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Broderick Healthcare PLLC (NPI 1972459451, North Reading, MA); Lowell General Inpatient Specialists PLLC (NPI 1649626391, Lowell, MA); Steward Medical Group, Inc (NPI 1629398219, Watertown, MA); Steward Emergency Physicians, Inc (NPI 1780971275, Ayer, MA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 15, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1255732293) · Data from the CMS NPPES public registry.