ALICIA BROUSSARD
NPI 1295187888
Hospitalist in Bismarck, ND
About Alicia Broussard NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALICIA BROUSSARD (NPI 1295187888) is an individual hospitalist provider in Bismarck, North Dakota, licensed in North Dakota (17317) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS, is affiliated with Sanford Medical Center Bismarck, and maintains a secondary practice location in Mesa.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Alicia Broussard 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.
Medicare Billing Reassignment
Medicare enrollment records show Alicia Broussard reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bismarck, ND 58504
- Reassigned Medicare billing, North Dakota enrollment
- 779 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.
Areas of Expertise CMS Part B claims 3
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Sanford Medical Center Bismarck
Acute Care Hospitals · Bismarck, NDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 58501 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.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
BISMARCK, ND 58501
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 Alicia Broussard's NPI number?
The NPI number for Alicia Broussard is 1295187888. It was assigned to this individual provider in the NPPES registry on July 6, 2016. The provider is also known as Alicia Juljenjai.
Where is Alicia Broussard located?
Alicia Broussard practices at 222 N 7th St, Bismarck, ND 58501. The listed phone number is (701) 323-5422.
What is Alicia Broussard's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Alicia Broussard enrolled in Medicare?
Yes. Alicia Broussard is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Alicia Broussard's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alicia Broussard reassigns Medicare benefits to Sanford Bismarck (Bismarck, ND). The 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 Alicia Broussard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Alicia Broussard accept?
Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Alicia Broussard as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Alicia Broussard affiliated with any hospitals?
According to CMS data, Alicia Broussard is affiliated with Sanford Medical Center Bismarck.
When was this NPI record last updated?
The NPPES record for Alicia Broussard was last updated on October 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Alicia Broussard · NPI 1295187888
Hospitalist physician in Bismarck, North Dakota. Individual provider, active in the CMS NPPES registry since July 6, 2016.
## Identity
- **NPI:** 1295187888 (Entity type: Individual)
- **Enumerated:** July 6, 2016
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 17317 (North Dakota)
- **Sole proprietor:** No
## Practice location
- **Address:** 222 N 7TH ST, Bismarck, ND 58501-4436
- **Phone:** (701) 323-5422
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Sanford Bismarck (NPI 1811941172, Bismarck, ND), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** At Still Un Of Hlth Sciences, Col Of Osteo Med, Mesa, class of 2018
## Record status
- **NPPES last updated:** October 11, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1295187888) · Data from the CMS NPPES public registry.