DANIELLE MARIE DESORMEAUX BROUSSARD AGACNP
NPI 1669827192
Nurse Practitioner - Acute Care in West Hollywood, CA
About Danielle Marie Desormeaux Broussard Agacnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DANIELLE MARIE DESORMEAUX BROUSSARD AGACNP (NPI 1669827192) is an individual acute care provider in West Hollywood, California, licensed in California (NP95004454) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Los Angeles, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Danielle Marie Desormeaux Broussard Agacnp 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.
Medicare Billing Reassignments
2Medicare enrollment records show Danielle Broussard reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Los Angeles, CA 90048
- Reassigned Medicare billing, California enrollment
- 1,001 clinicians in this Medicare group
Los Angeles, CA 90033
- Reassigned Medicare billing, California enrollment
- 2,445 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90048 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.
WEST HOLLYWOOD, CA 90048
WEST HOLLYWOOD, CA 90048
WEST HOLLYWOOD, CA 90048
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 Danielle Broussard's NPI number?
The NPI number for Danielle Broussard is 1669827192. It was assigned to this individual provider in the NPPES registry on May 3, 2016. The provider is also known as Danielle Marie Desormeaux Agacnp.
Where is Danielle Broussard located?
Danielle Broussard practices at 8700 Beverly Blvd, West Hollywood, CA 90048. The listed phone number is (310) 423-4208.
What is Danielle Broussard's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Danielle Broussard enrolled in Medicare?
Yes. Danielle Broussard 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.
Which organizations bill Medicare for Danielle Broussard's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Danielle Broussard reassigns Medicare benefits to 2 organizations: Cedars-Sinai Medical Center (Los Angeles, CA) and Usc Care Medical Group, Inc (Los Angeles, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Danielle Broussard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Danielle Broussard was last updated on January 24, 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.
# Danielle Marie Desormeaux Broussard, AGACNP · NPI 1669827192
Acute Care physician in West Hollywood, California. Individual provider, active in the CMS NPPES registry since May 3, 2016.
## Identity
- **NPI:** 1669827192 (Entity type: Individual)
- **Enumerated:** May 3, 2016
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** NP95004454 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 8700 BEVERLY BLVD, West Hollywood, CA 90048-1804
- **Phone:** (310) 423-4208 · **Fax:** (310) 959-3332
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Cedars-Sinai Medical Center (NPI 1639172372, Los Angeles, CA); Usc Care Medical Group, Inc (NPI 1902846306, Los Angeles, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** January 24, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1669827192) · Data from the CMS NPPES public registry.