CAROL BROOM
NPI 1841615796
Nurse Practitioner - Family in Forney, TX
About Carol Broom NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAROL BROOM (NPI 1841615796) is an individual family provider in Forney, Texas, licensed in Texas (737648) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Carol Broom is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Carol Broom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mesquite, TX 75149
- Reassigned Medicare billing, Texas enrollment
- 4 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75126 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Carol Broom's NPI number?
The NPI number for Carol Broom is 1841615796. It was assigned to this individual provider in the NPPES registry on March 3, 2014.
Where is Carol Broom located?
Carol Broom practices at 992 E Us Highway 80, Forney, TX 75126. The listed phone number is (972) 552-2920.
What is Carol Broom's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Carol Broom enrolled in Medicare?
Yes. Carol Broom is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Carol Broom's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carol Broom reassigns Medicare benefits to Shibli Family Medicine And Obesity Clinic PLLC (Mesquite, 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 Carol Broom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Carol Broom was last updated on March 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Carol Broom · NPI 1841615796
Family physician in Forney, Texas. Individual provider, active in the CMS NPPES registry since March 3, 2014.
## Identity
- **NPI:** 1841615796 (Entity type: Individual)
- **Enumerated:** March 3, 2014
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 737648 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 992 E US HIGHWAY 80, Forney, TX 75126-8709
- **Phone:** (972) 552-2920
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Shibli Family Medicine And Obesity Clinic PLLC (NPI 1093478489, Mesquite, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 3, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1841615796) · Data from the CMS NPPES public registry.