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KENDRA BROUSSARD WHNP, AGPCNP, RN
NPI 1730558313
Nurse Practitioner in Plymouth, MA

Active since September 24, 2015PECOS Enrolled
101 COURT ST STE 8, PLYMOUTH, MA 02360(508) 732-7327 Get Directions Write a Review

NPPES record last updated: October 1, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kendra Broussard Whnp, Agpcnp, Rn NPPES

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

KENDRA BROUSSARD WHNP, AGPCNP, RN (NPI 1730558313) is an individual nurse practitioner in Plymouth, Massachusetts, licensed in Massachusetts (2292034) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730558313
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKENDRA BROUSSARDCredential: WHNP, AGPCNP, RN
Location Address101 COURT ST STE 8Plymouth, MA 02360-8718
Mailing Address36 Saxton St Unit 2Boston, MA 02125-1439 · (781) 264-4753
Phone(508) 732-7327
Sole ProprietorNo
Enumeration DateSeptember 24, 2015
Last NPPES UpdateOctober 1, 2018
✔ NPI 1730558313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MA · 2292034
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.
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 2292034 (MA)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 2292034 (MA)
Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X · License 2292034 (MA)
101 COURT ST STE 8, Plymouth, MA 02360
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kendra Broussard Whnp, Agpcnp, Rn 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kendra Broussard reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Health Imperatives Inc.
2.6 mi
Family Planning, Non-Surgical
123-1 CAMELOT DRIVE
Plymouth, MA 02360
  • Reassigned Medicare billing, Massachusetts enrollment
  • 25 clinicians in this Medicare group
NPI 1861536906 (508) 746-8353
Beth Israel Deaconess Medical Center, Inc.
34 mi
General Acute Care Hospital
330 BROOKLINE AVE, ST 207
Boston, MA 02215
  • Reassigned Medicare billing, Massachusetts enrollment
  • 1,477 clinicians in this Medicare group
NPI 1548202641 (617) 667-1961

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02360 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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 Kendra Broussard's NPI number?

The NPI number for Kendra Broussard is 1730558313. It was assigned to this individual provider in the NPPES registry on September 24, 2015.

Where is Kendra Broussard located?

Kendra Broussard practices at 101 Court St Ste 8, Plymouth, MA 02360. The listed phone number is (508) 732-7327.

What is Kendra Broussard's specialty?

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

Is Kendra Broussard enrolled in Medicare?

Yes. Kendra Broussard is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kendra Broussard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kendra Broussard reassigns Medicare benefits to 2 organizations: Health Imperatives Inc. (Plymouth, MA) and Beth Israel Deaconess Medical Center, Inc. (Boston, MA). 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 Kendra Broussard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kendra Broussard accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Texas and Priority Health list Kendra Broussard 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 Kendra Broussard was last updated on October 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.