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KRISTIN BRODERICK
NPI 1336585074
Social Worker - Clinical in Madison, WI

Active since May 21, 2013PECOS Enrolled
202 S PARK ST, MADISON, WI 53715(608) 417-6000(608) 417-5333 Get Directions Write a Review

NPPES record last updated: August 19, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kristin Broderick NPPES

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

KRISTIN BRODERICK (NPI 1336585074) is an individual clinical provider in Madison, Wisconsin, licensed in Wisconsin (11493) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1336585074
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKRISTIN BRODERICK
Location Address202 S PARK STMadison, WI 53715-1507
Mailing Address202 S Park StMadison, WI 53715-1507 · (608) 417-6000 · Fax (608) 417-5333
Phone(608) 417-6000
Fax(608) 417-5333
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMay 21, 2013
Last NPPES UpdateAugust 19, 2026
NPPES CertifiedAugust 19, 2026
✔ NPI 1336585074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in WI · 11493
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
202 S PARK ST, Madison, WI 53715
Open in Google Maps ↗

Other Names 1

Former Name (1)Kristin Van Oss

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristin Broderick is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5890255418
PECOS Enrollment IDI20260902004699
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 Reassignment

Medicare enrollment records show Kristin Broderick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Meriter Hospital, Inc.
0.4 mi
Psychiatric Unit
202 S PARK ST
Madison, WI 53715
  • Reassigned Medicare billing, Wisconsin enrollment
  • 164 clinicians in this Medicare group
NPI 1548280225 (608) 417-6000

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 53715 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
$0.00 typical visit price
range $53.90 – $163.24
Typical copayment $0.00 (range $13.47 – $40.81)
Most-billed visit code NA
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
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 20

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

ASHLEY N BERKA NURSE PRACTITIONER
Nurse Practitioner
202 S PARK ST
MADISON, WI 53715
Dane County (608) 417-6667
BROOK INGEBRIGTSON APNP
Nurse Practitioner (Neonatal, Critical Care)
202 S PARK ST
MADISON, WI 53715
Dane County (608) 417-6236
PAUL LADWIG RN
Registered Nurse
202 S PARK ST
MADISON, WI 53715
Dane County (608) 417-6000
DIXITA KAPPELL NP
Nurse Practitioner (Neonatal, Critical Care)
202 S PARK ST
MADISON, WI 53715
Dane County (608) 417-6236
SUSAN R WILHELM PA-C
Physician Assistant (Medical)
202 S PARK ST, MERITER ATRIUM
MADISON, WI 53715
Dane County (608) 417-5970
PETER GERARD PRYDE MD
Anesthesiology
202 S PARK ST, 4 TOWER
MADISON, WI 53715
Dane County (608) 267-6676
SUSAN MENG PT
Physical Therapist
202 S PARK ST
MADISON, WI 53715
Dane County (608) 417-6000
BRIAN DAVID GRIFFITH M.D.
Internal Medicine (Critical Care Medicine)
202 S PARK ST
MADISON, WI 53715
Dane County (608) 417-5950

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 Kristin Broderick's NPI number?

The NPI number for Kristin Broderick is 1336585074. It was assigned to this individual provider in the NPPES registry on May 21, 2013. The provider is also known as Kristin Van Oss.

Where is Kristin Broderick located?

Kristin Broderick practices at 202 S Park St, Madison, WI 53715. The listed phone number is (608) 417-6000.

What is Kristin Broderick's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kristin Broderick enrolled in Medicare?

Yes. Kristin Broderick is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kristin Broderick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristin Broderick reassigns Medicare benefits to Meriter Hospital, Inc. (Madison, WI). 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 Kristin Broderick'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 Kristin Broderick was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.