VICKY L BRODERICK CNNP
NPI 1497880934
Nurse Practitioner - Neonatal in Seattle, WA
About Vicky L Broderick Cnnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VICKY L BRODERICK CNNP (NPI 1497880934) is an individual neonatal provider in Seattle, Washington, licensed in Washington (AP30003054) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Sioux Falls.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Vicky L Broderick Cnnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98133 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SEATTLE, WA 98133
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 Vicky Broderick's NPI number?
The NPI number for Vicky Broderick is 1497880934. It was assigned to this individual provider in the NPPES registry on February 23, 2007.
Where is Vicky Broderick located?
Vicky Broderick practices at 1550 N 115th St, Seattle, WA 98133. The listed phone number is (206) 520-5000.
What is Vicky Broderick's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.
Is Vicky Broderick enrolled in Medicare?
Yes. Vicky Broderick is registered in the Medicare PECOS enrollment system.
What insurance does Vicky Broderick accept?
Health plans from Blue Cross Blue Shield of North Dakota and Medica list Vicky Broderick 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.
When was this NPI record last updated?
The NPPES record for Vicky Broderick was last updated on September 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Vicky L Broderick, CNNP · NPI 1497880934
Neonatal physician in Seattle, Washington. Individual provider, active in the CMS NPPES registry since February 23, 2007.
## Identity
- **NPI:** 1497880934 (Entity type: Individual)
- **Enumerated:** February 23, 2007
- **Primary specialty:** Nurse Practitioner - Neonatal · taxonomy 363LN0000X
- **State license:** AP30003054 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 1550 N 115TH ST, Seattle, WA 98133-8401
- **Phone:** (206) 520-5000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
## Record status
- **NPPES last updated:** September 14, 2020
---
Source: [NPI Profile](https://npiprofile.com/npi/1497880934) · Data from the CMS NPPES public registry.