1. Home
  2. Directory
  3. Texas
  4. Tomball
  5. Nurse Practitioner
  6. NPI Profile

CARMEN D BROUSSARD FNP-C
NPI 1417319450
Nurse Practitioner - Family in Tomball, TX

Active since March 28, 2016PECOS Enrolled
602 LAWRENCE ST, SUITE E, TOMBALL, TX 77375(832) 534-7880(713) 852-2316 Get Directions Write a Review

NPPES record last updated: March 28, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Carmen D Broussard Fnp-c NPPES

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

CARMEN D BROUSSARD FNP-C (NPI 1417319450) is an individual family provider in Tomball, Texas, licensed in Texas (644043) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417319450
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCARMEN D BROUSSARDCredential: FNP-C
Location Address602 LAWRENCE ST, SUITE ETomball, TX 77375-6499
Mailing Address602 Lawrence St, Suite ETomball, TX 77375-6499 · (832) 534-7880 · Fax (713) 852-2316
Phone(832) 534-7880
Fax(713) 852-2316
Sole ProprietorNo
Enumeration DateMarch 28, 2016
✔ NPI 1417319450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · 644043
602 LAWRENCE ST, Tomball, TX 77375
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carmen D Broussard Fnp-c 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

2

Medicare enrollment records show Carmen Broussard reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Genesis Urgent Care LLC
3.4 mi
Urgent Care
24727 STATE HIGHWAY 249 STE 120-A
Tomball, TX 77375
  • Reassigned Medicare billing, Texas enrollment
  • 13 clinicians in this Medicare group
NPI 1255987434 (281) 440-5300
David P Ellent PLLC
11 mi
Pulmonary Disease
2255 E MOSSY OAKS RD STE 500
Spring, TX 77389
  • Reassigned Medicare billing, Texas enrollment
  • 107 clinicians in this Medicare group
NPI 1245777440 (281) 440-5300

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 77375 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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

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

MR. JERRY LEE HYATT MD
Orthopaedic Surgery
602 LAWRENCE ST
TOMBALL, TX 77375
Harris County (281) 357-1600

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 Carmen Broussard's NPI number?

The NPI number for Carmen Broussard is 1417319450. It was assigned to this individual provider in the NPPES registry on March 28, 2016.

Where is Carmen Broussard located?

Carmen Broussard practices at 602 Lawrence St Suite E, Tomball, TX 77375. The listed phone number is (832) 534-7880.

What is Carmen Broussard's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Carmen Broussard enrolled in Medicare?

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

Which organizations bill Medicare for Carmen Broussard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carmen Broussard reassigns Medicare benefits to 2 organizations: Genesis Urgent Care LLC (Tomball, TX) and David P Ellent PLLC (Spring, TX). 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 Carmen 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 Carmen Broussard was last updated on March 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.