AMY BRADDOCK APRN,FNP-BC
NPI 1720531254
Nurse Practitioner - Family in Beachwood, OH

Q: What is Amy Braddock's NPI number?

The NPI number for Amy Braddock is 1720531254. It was assigned to this individual provider in the NPPES registry on August 2, 2016.

Q: What is Amy Braddock's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Amy Braddock was last updated on March 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 August 02, 2016PECOS Enrolled

3700 PARK EAST DR STE 450, BEACHWOOD, OH 44122(866) 849-0692(888) 973-8821 Get Directions Write a Review

NPPES record last updated: March 13, 2025. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Mar 13, 2025, Feb 10, 2025, Feb 7, 2025 and 9 more (12 updates tracked since 2016).

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About Amy Braddock Aprn,fnp-bc NPPES

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

AMY BRADDOCK APRN,FNP-BC (NPI 1720531254) is an individual family provider in Beachwood, Ohio, licensed in Ohio (019903) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720531254

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameAMY BRADDOCKCredential: APRN,FNP-BC

Location Address3700 PARK EAST DR STE 450Beachwood, OH 44122-4318

Mailing AddressPo Box 211699Eagan, MN 55121-3699 · (866) 849-0692 · Fax (889) 738-8218

Phone(866) 849-0692

Fax(888) 973-8821

Sole ProprietorNo

Enumeration DateAugust 2, 2016

Last NPPES UpdateMarch 13, 202512 updates tracked since enumeration

NPPES CertifiedMarch 13, 2025

✔ NPI 1720531254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in OH · 019903✔ Licensed in TX · 1097942✔ Licensed in SC · 29954✔ Licensed in TN · 37116✔ Licensed in NC · 5021764✔ Licensed in AL · 3-002181✔ Licensed in IL · 209030510✔ Licensed in PA · SP031928✔ Licensed in FL · APRN11024257✔ Licensed in IN · 71016306A✔ Licensed in KY · 4028977

3700 PARK EAST DR STE 450, Beachwood, OH 44122

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amy Braddock Aprn,fnp-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 44122 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

4 suppliers14 claims23 services$5.73 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MRS. RACHEL ELIZABETH STARR FNP-C

Nurse Practitioner (Family)