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REBECCA BRODERICK ACNPC-AG, BSN, RN
NPI 1629755657
Nurse Practitioner in Lacey, WA

Active since June 30, 2023PECOS EnrolledAccepts Medicare Assignment
677 WOODLAND SQUARE LOOP SE STE D7, LACEY, WA 98503(703) 447-6155 Get Directions Write a Review

NPPES record last updated: June 30, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rebecca Broderick Acnpc-ag, Bsn, Rn NPPES

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

REBECCA BRODERICK ACNPC-AG, BSN, RN (NPI 1629755657) is an individual nurse practitioner in Lacey, Washington, licensed in Washington (61413663-NP) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS, is affiliated with Providence Centralia Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1629755657
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameREBECCA BRODERICKCredential: ACNPC-AG, BSN, RN
Location Address677 WOODLAND SQUARE LOOP SE STE D7Lacey, WA 98503-1000
Mailing Address18824 Mountain Point DrEagle River, AK 99577-8555 · (703) 447-6155
Phone(703) 447-6155
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJune 30, 2023
NPPES CertifiedJune 30, 2023
✔ NPI 1629755657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in WA · 61413663-NP
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
677 WOODLAND SQUARE LOOP SE STE D7, Lacey, WA 98503
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Other Names 1

Former Name (1)Rebecca Broderick Holmes

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.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

Rebecca Broderick Acnpc-ag, Bsn, Rn 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 ID244676575
PECOS Enrollment IDI20240308003642
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 2

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
15 services12 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
15 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Providence Centralia Hospital

Acute Care Hospitals · Centralia, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number500019
Location914 S Scheuber RoadCentralia, WA 98531 · Lewis County
Emergency services Birthing friendly

Providence St Peter Hospital

Acute Care Hospitals · Olympia, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500024
Location413 Lilly Road NEOlympia, WA 98506 · Thurston County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98503 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

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 Rebecca Broderick's NPI number?

The NPI number for Rebecca Broderick is 1629755657. It was assigned to this individual provider in the NPPES registry on June 30, 2023. The provider is also known as Rebecca Broderick Holmes.

Where is Rebecca Broderick located?

Rebecca Broderick practices at 677 Woodland Square Loop SE Ste D7, Lacey, WA 98503. The listed phone number is (703) 447-6155.

What is Rebecca Broderick's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Rebecca Broderick enrolled in Medicare?

Yes. Rebecca 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.

What insurance does Rebecca Broderick accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Rebecca 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.

Is Rebecca Broderick affiliated with any hospitals?

According to CMS data, Rebecca Broderick is affiliated with Providence Centralia Hospital and Providence St Peter Hospital.

When was this NPI record last updated?

The NPPES record for Rebecca Broderick was last updated on June 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.