MS. NANCY C BRADDOCK PA-C
NPI 1437275252
Physician Assistant - Medical in Belleville, IL

Q: What is Nancy Braddock's NPI number?

The NPI number for Nancy Braddock is 1437275252. It was assigned to this individual provider in the NPPES registry on March 22, 2007. The provider is also known as Nancy Costello Pa-C.

Q: What is Nancy Braddock's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Nancy Braddock was last updated on September 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since March 22, 2007PECOS EnrolledAccepts Medicare Assignment

311 W LINCOLN ST, STE 201, BELLEVILLE, IL 62220(618) 222-3200(618) 222-3203 Get Directions Write a Review

NPPES record last updated: September 12, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 12, 2018, May 23, 2017, Oct 25, 2016 and 1 more (4 updates tracked since 2015).

On this page

About Ms. Nancy C Braddock Pa-c NPPES

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

MS. NANCY C BRADDOCK PA-C (NPI 1437275252) is an individual medical provider in Belleville, Illinois, licensed in Illinois (085002020) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, is affiliated with Halifax Health Medical Center, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1437275252

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMS. NANCY C BRADDOCKCredential: PA-C

Location Address311 W LINCOLN ST, STE 201Belleville, IL 62220-1902

Mailing Address311 W Lincoln St Ste 101Belleville, IL 62220-1902 · (618) 222-3200 · Fax (618) 222-3203

Phone(618) 222-3200

Fax(618) 222-3203

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateMarch 22, 2007

Last NPPES UpdateSeptember 12, 20184 updates tracked since enumeration

✔ NPI 1437275252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

Licenses✔ Licensed in IL · 085002020✔ Licensed in MO · 2011035522

311 W LINCOLN ST, Belleville, IL 62220

Open in Google Maps ↗

Other Names 1

Former Name (1)Nancy Costello Pa-c

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Wellpoint.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Nancy C Braddock Pa-c 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.

PECOS PAC ID3375443674

PECOS Enrollment IDI20190320002632

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.

Areas of Expertise CMS Part B claims 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

61 services59 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

34 services30 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

30 services30 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

22 services22 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

17 services17 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Halifax Health Medical Center

Acute Care Hospitals · Daytona Beach, FL

1/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100017

Location303 N Clyde Morris BlvdDaytona Beach, FL 32114 · Volusia County

Emergency services Birthing friendly

Adventhealth Daytona Beach

Acute Care Hospitals · Daytona Beach, FL

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100068

Location301 Memorial Medical ParkwayDaytona Beach, FL 32117 · Volusia County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 16

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

DR. KOSIT PRIEB M.D.

Surgery (Vascular Surgery)

311 W LINCOLN ST, SUITE 200
BELLEVILLE, IL 62220

St. Clair County (618) 233-2500

ROBERT HELLMAN M.D.

Anesthesiology

311 W LINCOLN ST, SUITE 101
BELLEVILLE, IL 62220

St. Clair County (618) 222-3200

VASCULAR & HAND SURGERY, LTD

Surgery (Vascular Surgery)

311 W LINCOLN ST, SUITE 200
BELLEVILLE, IL 62220

St. Clair County (618) 233-2500

SOUTH CENTRAL ANESTHESIA LTD

Nurse Anesthetist, Certified Registered

311 W LINCOLN ST
BELLEVILLE, IL 62220

St. Clair County (618) 654-8231

BELLEVILLE SURGICAL CENTER LTD

Clinic/Center (Ambulatory Surgical)

311 W LINCOLN ST, SUITE 300
BELLEVILLE, IL 62220

St. Clair County (618) 233-7077

METRO EAST ANESTHESIA LLC

Nurse Anesthetist, Certified Registered

311 W LINCOLN ST, STE 101
BELLEVILLE, IL 62220

St. Clair County (618) 222-3200

DR. JOHN J BOEREN MD

General Practice

311 W LINCOLN ST, SUITE 300
BELLEVILLE, IL 62220

St. Clair County (618) 234-2566

SOUTHERN ILLINOIS VASCULAR SURGERY, PC

Surgery (Vascular Surgery)

311 W LINCOLN ST, SUITE 200
BELLEVILLE, IL 62220

St. Clair County (618) 233-2500

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 Nancy Braddock's NPI number?

The NPI number for Nancy Braddock is 1437275252. It was assigned to this individual provider in the NPPES registry on March 22, 2007. The provider is also known as Nancy Costello Pa-C.

Where is Nancy Braddock located?

Nancy Braddock practices at 311 W Lincoln St Ste 201, Belleville, IL 62220. The listed phone number is (618) 222-3200.

What is Nancy Braddock's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Nancy Braddock enrolled in Medicare?

Yes. Nancy Braddock 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.

What insurance does Nancy Braddock accept?

Health plans from Wellpoint list Nancy Braddock 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 Nancy Braddock affiliated with any hospitals?

According to CMS data, Nancy Braddock is affiliated with Halifax Health Medical Center and Adventhealth Daytona Beach.

When was this NPI record last updated?

The NPPES record for Nancy Braddock was last updated on September 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.