EMMA MARIE BROUSSARD NP
NPI 1306419015
Nurse Practitioner - Gerontology in Killeen, TX
About Emma Marie Broussard Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EMMA MARIE BROUSSARD NP (NPI 1306419015) is an individual gerontology provider in Killeen, Texas, licensed in Texas (1047924) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
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
Emma Marie Broussard Np 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 Emma Broussard reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tacoma, WA 98405
- Reassigned Medicare billing, Washington enrollment
- 40 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 76549 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
KILLEEN, TX 76549
KILLEEN, TX 76549
KILLEEN, TX 76549
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 Emma Broussard's NPI number?
The NPI number for Emma Broussard is 1306419015. It was assigned to this individual provider in the NPPES registry on July 20, 2021.
Where is Emma Broussard located?
Emma Broussard practices at 2201 Clear Creek Rd, Killeen, TX 76549. The listed phone number is (281) 904-3118.
What is Emma Broussard's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Emma Broussard enrolled in Medicare?
Yes. Emma 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 Emma Broussard's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Emma Broussard reassigns Medicare benefits to Northwest Medical Specialties PLLC (Tacoma, WA). 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 Emma 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 Emma Broussard was last updated on July 20, 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.
# Emma Marie Broussard, NP · NPI 1306419015
Gerontology physician in Killeen, Texas. Individual provider, active in the CMS NPPES registry since July 20, 2021.
## Identity
- **NPI:** 1306419015 (Entity type: Individual)
- **Enumerated:** July 20, 2021
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** 1047924 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 2201 CLEAR CREEK RD, Killeen, TX 76549-4110
- **Phone:** (281) 904-3118
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Northwest Medical Specialties PLLC (NPI 1548261308, Tacoma, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** July 20, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1306419015) · Data from the CMS NPPES public registry.