TRENT MICHAEL BROADUS ARNP
NPI 1780967364
Nurse Practitioner in Palm Springs, CA

Q: What is Trent Broadus's NPI number?

The NPI number for Trent Broadus is 1780967364. It was assigned to this individual provider in the NPPES registry on September 21, 2011.

Q: What is Trent Broadus's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Trent Broadus was last updated on March 17, 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.

Active since September 21, 2011PECOS Enrolled

1695 N SUNRISE WAY, PALM SPRINGS, CA 92262(760) 323-2118(760) 416-1651 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 17, 2018, Aug 16, 2017, Aug 9, 2017 and 1 more (4 updates tracked since 2015).

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About Trent Michael Broadus Arnp NPPES

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

TRENT MICHAEL BROADUS ARNP (NPI 1780967364) is an individual nurse practitioner in Palm Springs, California, licensed in California (95006008) and active in the NPI registry since September 2011. He is enrolled in Medicare PECOS and maintains a secondary practice location in Clearwater.

NPPES Registry Identity

NPI1780967364

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameTRENT MICHAEL BROADUSCredential: ARNP

Location Address1695 N SUNRISE WAYPalm Springs, CA 92262-3701

Mailing Address1695 North Sunrise WayPalm Springs, CA 92262-3701 · (760) 323-2118 · Fax (760) 416-1651

Phone(760) 323-2118

Fax(760) 416-1651

Sole ProprietorYes

Enumeration DateSeptember 21, 2011

Last NPPES UpdateMarch 17, 20184 updates tracked since enumeration

✔ NPI 1780967364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in CA · 95006008✔ Licensed in FL · ARNP9353539

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 · Acute CareTaxonomy 363LA2100X · License 570228 (TX)

1695 N SUNRISE WAY, Palm Springs, CA 92262

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Secondary Practice Location 1

Location 11700 N McMullen Booth Rd, Suite D1Clearwater, FL 33759-2130 · Phone (727) 669-3800 · Fax (727) 669-5600

Other Identifiers 2

Other95006008CA · Ca Np License

OtherARNP9353539FL · Fla Medical License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Trent Michael Broadus Arnp 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 92262 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

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

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.

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.

DR. DAVID F. HERSH MD

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