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NYSSA BROADNEX
NPI 1861373722
Nurse Practitioner - Family in Columbus, GA

Active since September 09, 2025PECOS EnrolledAccepts Medicare Assignment
3201 MACON RD STE 109, COLUMBUS, GA 31906(706) 225-8773 Get Directions Write a Review

NPPES record last updated: September 9, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nyssa Broadnex NPPES

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

NYSSA BROADNEX (NPI 1861373722) is an individual family provider in Columbus, Georgia, licensed in Georgia (RN202647) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1861373722
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNYSSA BROADNEX
Location Address3201 MACON RD STE 109Columbus, GA 31906-1741
Mailing Address1500 1st Ave N Unit 3Birmingham, AL 35203-1866
Phone(706) 225-8773
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 9, 2025
NPPES CertifiedSeptember 9, 2025
✔ NPI 1861373722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN202647

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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

Nyssa Broadnex 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.

PECOS PAC ID6507355971
PECOS Enrollment IDI20251028000349
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Nyssa Broadnex reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rural Urgent Care LLC
Urgent Care
1925 W MAIN ST STE 120
Centre, AL 35960
  • Reassigned Medicare billing, Georgia enrollment
  • 157 clinicians in this Medicare group
NPI 1932586476 (205) 545-5088
Zashcare Functional Medicine LLC
Family
3469 LAWRENCEVILLE HWY STE 303
Tucker, GA 30084
  • Reassigned Medicare billing, Georgia enrollment
NPI 1245178201 (404) 597-2527

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 31906 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.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JEREMY D ALLEN FNP
Nurse Practitioner (Family)
3201 MACON RD STE 109
COLUMBUS, GA 31906
Muscogee County (706) 225-8773
RURAL URGENT CARE LLC
Clinic/Center (Urgent Care)
3201 MACON RD STE 109
COLUMBUS, GA 31906
Muscogee County (706) 225-8773
MRS. TAMEIKA ROCHELL RUSSELL FNP-C
Nurse Practitioner (Family)
3201 MACON RD STE 109
COLUMBUS, GA 31906
Muscogee County (706) 225-8773
TOSHA LYGWEN AMMI
Nurse Practitioner (Family)
3201 MACON RD STE 109
COLUMBUS, GA 31906
Muscogee County (706) 225-8773
MS. ANGEL BROOKE WHITLEY
Nurse Practitioner (Family)
3201 MACON RD STE 109
COLUMBUS, GA 31906
Muscogee County (706) 225-8773
JESSICA ANN STAFFORD
Nurse Practitioner (Family)
3201 MACON RD STE 109
COLUMBUS, GA 31906
Muscogee County (706) 225-8773

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 Nyssa Broadnex's NPI number?

The NPI number for Nyssa Broadnex is 1861373722. It was assigned to this individual provider in the NPPES registry on September 9, 2025.

Where is Nyssa Broadnex located?

Nyssa Broadnex practices at 3201 Macon Rd Ste 109, Columbus, GA 31906. The listed phone number is (706) 225-8773.

What is Nyssa Broadnex's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Nyssa Broadnex enrolled in Medicare?

Yes. Nyssa Broadnex 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 organizations bill Medicare for Nyssa Broadnex's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nyssa Broadnex reassigns Medicare benefits to 2 organizations: Rural Urgent Care LLC (Centre, AL) and Zashcare Functional Medicine LLC (Tucker, GA). Each 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 Nyssa Broadnex's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nyssa Broadnex accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Nyssa Broadnex 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 Nyssa Broadnex was last updated on September 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.