JANESSA MARIE BROUSSARD
NPI 1285159871
Nurse Practitioner - Primary Care in San Francisco, CA

Active since August 04, 2017PECOS Enrolled
470 CASTRO ST, SAN FRANCISCO, CA 94114(415) 581-1600(415) 581-1610 Get Directions Write a Review

NPPES record last updated: December 13, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 13, 2018, Aug 4, 2017 (2 updates tracked since 2017).

About Janessa Marie Broussard NPPES

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

JANESSA MARIE BROUSSARD (NPI 1285159871) is an individual primary care provider in San Francisco, California, licensed in California (95007103) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285159871
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameJANESSA MARIE BROUSSARD
Location Address470 CASTRO STSan Francisco, CA 94114-2482
Mailing Address470 Castro StSan Francisco, CA 94114-2482 · (415) 581-1600 · Fax (415) 581-1610
Fax(415) 581-1610
Sole ProprietorNo
Enumeration DateAugust 4, 2017
Last NPPES UpdateDecember 13, 20182 updates tracked since enumeration
✔ NPI 1285159871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in CA · 95007103
470 CASTRO ST, San Francisco, CA 94114

Other Identifiers 1

Other95007103CA · Np License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Janessa Marie Broussard 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.

Medicare Billing Reassignments

4

Medicare enrollment records show Janessa Broussard reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health (Including Community Mental Health Center)
3850 17TH ST., SUITE 204
San Francisco, CA 94114
  • Reassigned Medicare billing, California enrollment
  • 1,573 clinicians in this Medicare group
Surgery
400 PARNASSUS AVE, MCB 300
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 5,645 clinicians in this Medicare group
Internal Medicine
400 PARNASSUS AVE
San Francisco, CA 94122
  • Reassigned Medicare billing, California enrollment
  • 5,544 clinicians in this Medicare group
Medical Oncology
995 POTRERO AVE, BLDG.80, RM 229
San Francisco, CA 94110
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1326013442 (California), NPI 1366417933 (California)
  • 637 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 94114 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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 14

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

Clinic/Center (Medical Specialty)
470 CASTRO ST, SUITE #204
SAN FRANCISCO, CA 94114
Counselor (Professional)
470 CASTRO ST
SAN FRANCISCO, CA 94114
Clinic/Center (Family Planning, Non-Surgical)
470 CASTRO ST
SAN FRANCISCO, CA 94114
Social Worker (Clinical)
470 CASTRO ST
SAN FRANCISCO, CA 94114
Marriage & Family Therapist
470 CASTRO ST
SAN FRANCISCO, CA 94114
Nurse Practitioner (Family)
470 CASTRO ST
SAN FRANCISCO, CA 94114
Pharmacist (Pharmacotherapy)
470 CASTRO ST
SAN FRANCISCO, CA 94114
Community/Behavioral Health
470 CASTRO ST
SAN FRANCISCO, CA 94114

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 Janessa Broussard's NPI number?

The NPI number for Janessa Broussard is 1285159871. It was assigned to this individual provider in the NPPES registry on August 4, 2017.

Where is Janessa Broussard located?

Janessa Broussard practices at 470 Castro St, San Francisco, CA 94114. The listed phone number is (415) 581-1600.

What is Janessa Broussard's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Janessa Broussard enrolled in Medicare?

Yes. Janessa Broussard is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Janessa Broussard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Janessa Broussard reassigns Medicare benefits to 4 organizations: City & County Of San Francisco (San Francisco, CA), University Of California San Francisco (San Francisco, CA), Ucsf Medical Group Business Services (San Francisco, CA) and University Of California Sfgh Medical Group (San Francisco, CA). 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 Janessa Broussard'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 Janessa Broussard was last updated on December 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.