MS. KRISTY ROSE BRODERICK FNP-BC
NPI 1487801817
Nurse Practitioner - Family in San Diego, CA
About Ms. Kristy Rose Broderick Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. KRISTY ROSE BRODERICK FNP-BC (NPI 1487801817) is an individual family provider in San Diego, California, licensed in California (19601) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
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. Kristy Rose Broderick Fnp-bc 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.
Areas of Expertise CMS Part B claims
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Kristy Broderick's NPI number?
The NPI number for Kristy Broderick is 1487801817. It was assigned to this individual provider in the NPPES registry on August 27, 2008. The provider is also known as Kristy Rose Abdou Fnp-Bc.
Where is Kristy Broderick located?
Kristy Broderick practices at 200 W Arbor Dr Dept 8220, San Diego, CA 92103. The listed phone number is (619) 840-4432.
What is Kristy Broderick's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kristy Broderick enrolled in Medicare?
Yes. Kristy Broderick 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.
When was this NPI record last updated?
The NPPES record for Kristy Broderick was last updated on September 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Ms. Kristy Rose Broderick, FNP-BC · NPI 1487801817
Family physician in San Diego, California. Individual provider, active in the CMS NPPES registry since August 27, 2008.
## Identity
- **NPI:** 1487801817 (Entity type: Individual)
- **Enumerated:** August 27, 2008
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 19601 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 200 W ARBOR DR DEPT 8220, San Diego, CA 92103-8220
- **Phone:** (619) 840-4432
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** September 10, 2019
---
Source: [NPI Profile](https://npiprofile.com/npi/1487801817) · Data from the CMS NPPES public registry.