MRS. EMILY WILMSHURST BRODERICK PMHNP
NPI 1538096706
Nurse Practitioner - Psychiatric/Mental Health in Rockville Centre, NY

Q: What is Emily Broderick's NPI number?

The NPI number for Emily Broderick is 1538096706. It was assigned to this individual provider in the NPPES registry on May 4, 2026.

Q: What is Emily Broderick's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Emily Broderick was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since May 04, 2026PECOS Enrolled

100 N VILLAGE AVE STE 27, ROCKVILLE CENTRE, NY 11570(516) 900-7646 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Mrs. Emily Wilmshurst Broderick Pmhnp NPPES

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

MRS. EMILY WILMSHURST BRODERICK PMHNP (NPI 1538096706) is an individual psychiatric/mental health provider in Rockville Centre, New York, licensed in New York (408194) and active in the NPI registry since May 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1538096706

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMRS. EMILY WILMSHURST BRODERICKCredential: PMHNP

Location Address100 N VILLAGE AVE STE 27Rockville Centre, NY 11570-3712

Mailing Address100 N Village Ave Ste 27Rockville Centre, NY 11570-3712

Phone(516) 900-7646

Sole ProprietorNo

Enumeration DateMay 4, 2026

NPPES CertifiedMay 4, 2026

✔ NPI 1538096706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in NY · 408194

100 N VILLAGE AVE STE 27, Rockville Centre, NY 11570

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Emily Wilmshurst Broderick Pmhnp 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 11570 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.

Leave this field empty

Other Providers at the Same Location NPPES 14

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

GRACE COSTA PMHNP

Nurse Practitioner (Psychiatric/Mental Health)