JACQUELINE B. BROADWAY MSN, FNP
NPI 1760569891
Nurse Practitioner - Family in Houston, TX
About Jacqueline B. Broadway Msn, Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUELINE B. BROADWAY MSN, FNP (NPI 1760569891) is an individual family provider in Houston, Texas, licensed in Texas (675246) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1995).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Accepted Insurance
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
Jacqueline B. Broadway Msn, Fnp 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 Reassignment
Medicare enrollment records show Jacqueline Broadway reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Houston, TX 77030
- Reassigned Medicare billing, Texas enrollment
- 2,675 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 3
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 77030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
HOUSTON, TX 77030
HOUSTON, TX 77030
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 Jacqueline Broadway's NPI number?
The NPI number for Jacqueline Broadway is 1760569891. It was assigned to this individual provider in the NPPES registry on November 1, 2006.
Where is Jacqueline Broadway located?
Jacqueline Broadway practices at 1515 Holcombe Blvd, Houston, TX 77030. The listed phone number is (713) 792-6161.
What is Jacqueline Broadway's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jacqueline Broadway enrolled in Medicare?
Yes. Jacqueline Broadway 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 organization bills Medicare for Jacqueline Broadway's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Broadway reassigns Medicare benefits to Physicians Referral Service (Houston, TX). The 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 Jacqueline Broadway's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jacqueline Broadway accept?
Health plans from Antidote Health of TX, Blue Cross and Blue Shield of Texas and Harbor Health list Jacqueline Broadway 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 Jacqueline Broadway was last updated on October 27, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Jacqueline B. Broadway, MSN, FNP · NPI 1760569891
Family physician in Houston, Texas. Individual provider, active in the CMS NPPES registry since November 1, 2006.
## Identity
- **NPI:** 1760569891 (Entity type: Individual)
- **Enumerated:** November 1, 2006
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 675246 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1515 HOLCOMBE BLVD, Houston, TX 77030-4009
- **Phone:** (713) 792-6161
## 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:** Physicians Referral Service (NPI 1073574810, Houston, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1995
## Record status
- **NPPES last updated:** October 27, 2010
- **Other identifiers:** Medicaid 154863801 (TX); Other 8N2953 (TX); Medicare UPIN S33384; and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1760569891) · Data from the CMS NPPES public registry.