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

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: July 19, 2026.

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

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
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

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.

Internal Medicine
1695 N SUNRISE WAY
PALM SPRINGS, CA 92262
Internal Medicine
1695 N SUNRISE WAY
PALM SPRINGS, CA 92262
Pharmacist
1695 N SUNRISE WAY
PALM SPRINGS, CA 92262
Psychiatry & Neurology (Psychiatry)
1695 N SUNRISE WAY
PALM SPRINGS, CA 92262
Dentist (General Practice)
1695 N SUNRISE WAY
PALM SPRINGS, CA 92262
Social Worker (Clinical)
1695 N SUNRISE WAY
PALM SPRINGS, CA 92262
Dentist
1695 N SUNRISE WAY
PALM SPRINGS, CA 92262
Clinic/Center (Community Health)
1695 N SUNRISE WAY
PALM SPRINGS, CA 92262

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780967364, enumerated as an "individual" on September 21, 2011.

The provider is located at 1695 N SUNRISE WAY PALM SPRINGS, CA 92262 and the phone number is (760) 323-2118.

Nurse Practitioner with taxonomy code 363L00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.