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

Q: 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.

Q: What is Lisa Broody's specialty?

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

Q: When was this NPI record last updated?

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

Active since October 23, 2006PECOS Enrolled

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: July 19, 2026.

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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 and maintains a secondary practice location in Media.

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

Phone(610) 576-7500

Fax(610) 576-7506

Sole ProprietorNo

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

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Secondary Practice Location 1

Location 11088 W Baltimore Pike, Suite #2208Media, PA 19063-5146 · Phone (610) 891-3049 · Fax (610) 891-3919

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Broody Crnp 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.

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.