CARI BRODERICK PA-C
NPI 1609495936
Physician Assistant - Surgical in Jacksonville, FL

Q: What is Cari Broderick's NPI number?

The NPI number for Cari Broderick is 1609495936. It was assigned to this individual provider in the NPPES registry on April 16, 2020.

Q: What is Cari Broderick's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Cari Broderick was last updated on March 5, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 16, 2020PECOS EnrolledAccepts Medicare Assignment

84.3/100

CMS Quality Rating

2627 RIVERSIDE AVE STE 300, JACKSONVILLE, FL 32204(904) 634-0640 Get Directions Write a Review

NPPES record last updated: March 5, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 5, 2025, Nov 8, 2023, Apr 16, 2020 (3 updates tracked since 2020).

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About Cari Broderick Pa-c NPPES

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

CARI BRODERICK PA-C (NPI 1609495936) is an individual surgical provider in Jacksonville, Florida, licensed in Florida (PA9113167) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent's Riverside, and maintains 10 additional practice locations.

NPPES Registry Identity

NPI1609495936

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameCARI BRODERICKCredential: PA-C

Location Address2627 RIVERSIDE AVE STE 300Jacksonville, FL 32204-4717

Mailing Address6800 Southpoint Pkwy Ste 300Jacksonville, FL 32216-8203 · (904) 634-0640 · Fax (904) 634-0203

Phone(904) 634-0640

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateApril 16, 2020

Last NPPES UpdateMarch 5, 20253 updates tracked since enumeration

NPPES CertifiedMarch 5, 2025

✔ NPI 1609495936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in FL · PA9113167

2627 RIVERSIDE AVE STE 300, Jacksonville, FL 32204

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Secondary Practice Locations 10

Location 12 Shircliff Way Ste 605Jacksonville, FL 32204-4762 · Phone (904) 634-0640 · Fax (904) 634-0203

Location 23055 County Road 210 W Ste 110St Johns, FL 32259-7001 · Phone (904) 634-0640 · Fax (904) 634-0203

Location 34268 Oldfield Crossing Dr Ste 201Jacksonville, FL 32223-8800 · Phone (904) 634-0640 · Fax (904) 634-0203

Location 415255 Max Legget Pkwy Ste 5300Jacksonville, FL 32218-7274 · Phone (904) 634-0640 · Fax (904) 634-0203

Location 510475 Centurion Pkwy N Ste 220Jacksonville, FL 32256-5004 · Phone (904) 634-0640 · Fax (904) 634-0203

Location 64565 US Highway 17 Ste 200Fleming Island, FL 32003-4823 · Phone (904) 634-0640 · Fax (904) 634-0203

Location 7216 Southpark Cir E Ste 216St Augustine, FL 32086-5135 · Phone (904) 634-0640 · Fax (904) 634-0203

Location 81690 US Highway 1 S Ste FSt Augustine, FL 32084-6024 · Phone (904) 634-0640 · Fax (904) 634-0203

Location 9232 Ponte Vedra Park DrPonte Vedra Beach, FL 32082-6600 · Phone (904) 634-0640 · Fax (904) 634-0203

Location 102627 Riverside Ave Ste 300Jacksonville, FL 32204-4717 · Phone (904) 634-0640 · Fax (904) 634-0203

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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

Cari Broderick Pa-c 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 ID42395923, 7416387147

PECOS Enrollment IDI20200421002166, I20200421002258

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.

Areas of Expertise CMS Part B claims 16

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.

Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg J7322

Hymovis is a treatment involving the injection of a substance called hyaluronan into a joint. This substance, naturally found in the body, helps lubricate and cushion your joints. The treatment can help reduce joint pain and improve mobility.

6,168 services91 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

2,404 services242 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

516 services202 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

413 services313 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

208 services138 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

193 services143 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

166 services132 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

164 services117 patients

Aspiration and/or injection of fluid large joint using ultrasound guidance 20611

This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.

152 services88 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

85 services82 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

56 services54 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

38 services38 patients

X-ray of pelvis, 1-2 views 72170

An X-ray of the pelvis, 1-2 views, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the lower part of your torso. These images help to detect any abnormalities or injuries in your hip bones and surrounding structures.

36 services36 patients

X-ray of both hips, 3-4 views 73522

An X-ray of both hips with 3-4 views is a safe imaging procedure. It involves capturing multiple pictures of your hip joints from different angles. This helps in diagnosing conditions like arthritis or fractures. You'll need to stay still during the process for clear images.

28 services28 patients

Injection into tendon or ligament 20550

An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.

15 services13 patients

Ultrasonic guidance for needle placement 76942

Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.

14 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Ascension St Vincent's Riverside

Acute Care Hospitals · Jacksonville, FL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100040

Location1 Shircliff WayJacksonville, FL 32204 · Duval County

Emergency services

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100088

Location800 Prudential DrJacksonville, FL 32207 · Duval County

Emergency services Birthing friendly

Baptist Medical Center - Nassau

Acute Care Hospitals · Fernandina Beach, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100140

Location1250 S 18th StFernandina Beach, FL 32034 · Nassau County

Emergency services

Ascension St Vincent's Clay County

Acute Care Hospitals · Middleburg, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100321

Location1670 St Vincents WayMiddleburg, FL 32068 · Clay County

Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.3/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

86.68

Promoting Interoperability

100

Improvement Activities

Cost

60.99

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report

58%355 patients3/55-star benchmark: 87%

Controlling High Blood Pressure

1%226 patients1/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

98%1,952 patients4/55-star benchmark: 100%

e-Prescribing

99%428 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

3%828 patients1/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

78%1,456 patients4/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

0%1,818 patients1/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 96% · 1,337 patients

Patients screened: 97% · 1,337 patients

65%71 patients3/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

93%1,232 patients4/55-star benchmark: 100%

Screening for Osteoporosis for Women Aged 65-85 Years of Age

6%523 patients1/55-star benchmark: 98%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

92%53 patients5/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 1% · 867 patients

Patients totalRate: 3% · 868 patients

1%868 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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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.

ANDREA PARRIS APRN

Nurse Practitioner (Family)