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

Q: 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.

Q: What is Janessa Broussard's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Janessa Broussard was last updated on December 13, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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: July 26, 2026.

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

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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

Phone(415) 581-1600

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

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Other Identifiers 1

Other95007103CA · Np License

Medicare Participation & PECOS CMS

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

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.

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.

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Other Providers at the Same Location NPPES 13

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

DR. MARCUS A CONANT MD

Clinic/Center (Medical Specialty)

470 CASTRO ST, SUITE #204
SAN FRANCISCO, CA 94114

San Francisco County (415) 575-7001

MR. VICTOR ALFREDO KURI DE LABRA AMFT, APCC

Counselor (Professional)