1. Home
  2. Directory
  3. Massachusetts
  4. North Reading
  5. Nurse Practitioner
  6. NPI Profile

KATHLEEN BRODERICK NP
NPI 1255732293
Nurse Practitioner - Family in North Reading, MA

Active since September 09, 2014PECOS Enrolled
135 MAIN ST STE 206, NORTH READING, MA 01864(617) 905-1978 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 15, 2025, Jan 22, 2021 (2 updates tracked since 2021).

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

NPI1255732293
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATHLEEN BRODERICKCredential: NP
Location Address135 MAIN ST STE 206North Reading, MA 01864-2280
Mailing Address290 Littleton Rd Unit 3Chelmsford, MA 01824-3429 · (978) 258-4734
Phone(617) 905-1978
Sole ProprietorYes
Enumeration DateSeptember 9, 2014
Last NPPES UpdateDecember 15, 20252 updates tracked since enumeration
NPPES CertifiedDecember 15, 2025
✔ NPI 1255732293 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 MA · RN282504
135 MAIN ST STE 206, North Reading, MA 01864
Open in Google Maps ↗

Other Names 1

Former Name (1)Kathleen Logan

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathleen Broderick Np 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 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.

New Patient
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%178 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

When was this NPI record last updated?

The NPPES record for Kathleen Broderick was last updated on December 15, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.