LISA BROODY CRNP
NPI 1487737417
Nurse Practitioner - Family in Berwyn, PA

Active since October 23, 2006PECOS EnrolledAccepts Medicare Assignment
1001 CHESTERBROOK BLVD, BERWYN, PA 19312(610) 576-7500(610) 576-7506 Get Directions Write a Review

NPPES record last updated: December 31, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lisa Broody Crnp NPPES

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

LISA BROODY CRNP (NPI 1487737417) is an individual family provider in Berwyn, Pennsylvania, licensed in Pennsylvania (SP009148) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1487737417
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLISA BROODYCredential: CRNP
Location Address1001 CHESTERBROOK BLVDBerwyn, PA 19312-0000
Mailing Address1001 Chesterbrook Blvd, 2nd Fl.Berwyn, PA 19312-0000 · (610) 576-7500 · Fax (610) 576-7506
Fax(610) 576-7506
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateOctober 23, 2006
Last NPPES UpdateDecember 31, 2025
NPPES CertifiedDecember 31, 2025
NPI 1487737417 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 PA · SP009148
1001 CHESTERBROOK BLVD, Berwyn, PA 19312

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

Lisa Broody Crnp 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 ID4284074311
PECOS Enrollment IDI20240506003659
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.

Hospital Affiliations CMS Care Compare 3

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Main Line Hospital Lankenau

Acute Care Hospitals · Wynnewood, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390195
Location100 Lancaster AveWynnewood, PA 19096 · Montgomery County
Emergency services Birthing friendly

Riddle Memorial Hospital

Acute Care Hospitals · Media, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390222
Location1068 West Baltimore PikeMedia, PA 19063 · Delaware County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19312 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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 20

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

Internal Medicine (Endocrinology, Diabetes & Metabolism)
1001 CHESTERBROOK BLVD, 3RD FLOOR EAST
BERWYN, PA 19312
Radiology (Diagnostic Radiology)
1001 CHESTERBROOK BLVD
BERWYN, PA 19312
Nurse Practitioner (Primary Care)
1001 CHESTERBROOK BLVD
BERWYN, PA 19312
Internal Medicine
1001 CHESTERBROOK BLVD
BERWYN, PA 19312
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1001 CHESTERBROOK BLVD
BERWYN, PA 19312
Family Medicine
1001 CHESTERBROOK BLVD, SUITE 200
BERWYN, PA 19312
Surgery
1001 CHESTERBROOK BLVD, 3RD FLOOR
BERWYN, PA 19312
Surgery
1001 CHESTERBROOK BLVD
BERWYN, PA 19312

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 Lisa Broody's NPI number?

The NPI number for Lisa Broody is 1487737417. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Where is Lisa Broody located?

Lisa Broody practices at 1001 Chesterbrook Blvd, Berwyn, PA 19312. The listed phone number is (610) 576-7500.

What is Lisa Broody's specialty?

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

Is Lisa Broody enrolled in Medicare?

Yes. Lisa Broody 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.

Is Lisa Broody affiliated with any hospitals?

According to CMS data, Lisa Broody is affiliated with Hospital Of Univ Of Pennsylvania, Main Line Hospital Lankenau and Riddle Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Lisa Broody was last updated on December 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.