1. Home
  2. Directory
  3. Georgia
  4. Macon
  5. Nurse Practitioner
  6. NPI Profile

MRS. SANDRA BERNETTE BROOMFIELD NURSE PRACTITIONER
NPI 1760948434
Nurse Practitioner - Adult Health in Macon, GA

Active since February 18, 2019PECOS Enrolled
575 1ST ST, MACON, GA 31201(478) 742-7566(478) 743-2804 Get Directions Write a Review

NPPES record last updated: September 15, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 15, 2020, Feb 18, 2019 (2 updates tracked since 2019).

About Mrs. Sandra Bernette Broomfield Nurse Practitioner NPPES

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

MRS. SANDRA BERNETTE BROOMFIELD NURSE PRACTITIONER (NPI 1760948434) is an individual adult health provider in Macon, Georgia, licensed in Georgia (RN159851) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760948434
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. SANDRA BERNETTE BROOMFIELDCredential: NURSE PRACTITIONER
Location Address575 1ST STMacon, GA 31201-2825
Mailing Address575 1st StMacon, GA 31201-2825 · (478) 742-7566 · Fax (478) 743-2804
Phone(478) 742-7566
Fax(478) 743-2804
Sole ProprietorNo
Enumeration DateFebruary 18, 2019
Last NPPES UpdateSeptember 15, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2020
✔ NPI 1760948434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in GA · RN159851
575 1ST ST, Macon, GA 31201
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Sandra Bernette Broomfield Nurse Practitioner 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 31201 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$16.15 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$83.83 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.

MACON CARDIOVASCULAR INSTITUTE
Surgery
575 1ST ST
MACON, GA 31201
Bibb County (478) 743-9762
DR. RANDALL B BROWN M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
575 1ST ST
MACON, GA 31201
Bibb County (478) 743-9762
DR. MAURICE M SOLIS M.D.
Surgery (Vascular Surgery)
575 1ST ST
MACON, GA 31201
Bibb County (478) 743-9762
DR. JAMES L FOSTER JR. M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
575 1ST ST
MACON, GA 31201
Bibb County (478) 743-9762
GAIL A. KLINE NP-C
Nurse Practitioner (Family)
575 1ST ST
MACON, GA 31201
Bibb County (478) 742-7566
CHRISTY REBECCA ETHERIDGE FNP
Nurse Practitioner (Family)
575 1ST ST
MACON, GA 31201
Bibb County (478) 743-9762
MELISSA C. MCPHAIL FNP-BC
Nurse Practitioner (Family)
575 1ST ST
MACON, GA 31201
Bibb County (478) 743-9762
PATRICK KOHTZ M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
575 1ST ST
MACON, GA 31201
Bibb County (478) 743-9762

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 Sandra Broomfield's NPI number?

The NPI number for Sandra Broomfield is 1760948434. It was assigned to this individual provider in the NPPES registry on February 18, 2019.

Where is Sandra Broomfield located?

Sandra Broomfield practices at 575 1st St, Macon, GA 31201. The listed phone number is (478) 742-7566.

What is Sandra Broomfield's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Sandra Broomfield enrolled in Medicare?

Yes. Sandra Broomfield is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sandra Broomfield was last updated on September 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.