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STEPHANIE LAUREN BRODERICK CNM, WHNP-BC
NPI 1629444823
Nurse Practitioner - Obstetrics & Gynecology in Aurora, IL

Active since August 11, 2015PECOS Enrolled
1400 INDIAN AVE, AURORA, IL 60505(630) 892-4355 Get Directions Write a Review

NPPES record last updated: May 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stephanie Lauren Broderick Cnm, Whnp-bc NPPES

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

STEPHANIE LAUREN BRODERICK CNM, WHNP-BC (NPI 1629444823) is an individual obstetrics & gynecology provider in Aurora, Illinois, licensed in Illinois (209013055) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Aurora.

NPPES Registry Identity

NPI1629444823
Entity TypeIndividualFemale
Primary Taxonomy363LX0001X
Provider Legal NameSTEPHANIE LAUREN BRODERICKCredential: CNM, WHNP-BC
Location Address1400 INDIAN AVEAurora, IL 60505-3137
Mailing Address400 N Highland AveAurora, IL 60506-3814 · (630) 892-4355 · Fax (630) 892-0262
Phone(630) 892-4355
Sole ProprietorNo
Enumeration DateAugust 11, 2015
Last NPPES UpdateMay 10, 2022
NPPES CertifiedMay 10, 2022
✔ NPI 1629444823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Obstetrics & GynecologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LX0001X
License✔ Licensed in IL · 209013055
1400 INDIAN AVE, Aurora, IL 60505
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Other Names 1

Former Name (1)Stephanie Lauren Waggoner

Secondary Practice Location 1

Location 1400 N Highland AveAurora, IL 60506-3814 · Phone (630) 892-4355 · Fax (630) 892-0262

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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)

Stephanie Lauren Broderick Cnm, Whnp-bc 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 60505 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

Other Providers at the Same Location NPPES 2

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

EMMA SLAS DNP, CPNP-PC
Nurse Practitioner (Pediatrics)
1400 INDIAN AVE
AURORA, IL 60505
Kane County (630) 526-7912
ELIZABETH KOCH CD,(DONA)
Doula
1400 INDIAN AVE
AURORA, IL 60505
Kane County (630) 892-4355

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 Stephanie Broderick's NPI number?

The NPI number for Stephanie Broderick is 1629444823. It was assigned to this individual provider in the NPPES registry on August 11, 2015. The provider is also known as Stephanie Lauren Waggoner.

Where is Stephanie Broderick located?

Stephanie Broderick practices at 1400 Indian Ave, Aurora, IL 60505. The listed phone number is (630) 892-4355.

What is Stephanie Broderick's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Obstetrics & Gynecology, with taxonomy code 363LX0001X.

Is Stephanie Broderick enrolled in Medicare?

Yes. Stephanie Broderick is registered in the Medicare PECOS enrollment system.

What insurance does Stephanie Broderick accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Stephanie 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 Stephanie Broderick was last updated on May 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.