CORRIANNE H BRONER
NPI 1861727992
Counselor - Professional in Tucumcari, NM

Active since October 07, 2009PECOS EnrolledAccepts Medicare Assignment
624 E MAIN ST, TUCUMCARI, NM 88401(505) 307-6476 Get Directions Write a Review

NPPES record last updated: August 18, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Corrianne H Broner NPPES

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

CORRIANNE H BRONER (NPI 1861727992) is an individual professional provider in Tucumcari, New Mexico, licensed in New Mexico (0143131) and active in the NPI registry since October 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1861727992
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameCORRIANNE H BRONER
Location Address624 E MAIN STTucumcari, NM 88401-2250
Mailing AddressPo Box 107Tucumcari, NM 88401-0107 · (505) 307-6476
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateOctober 7, 2009
Last NPPES UpdateAugust 18, 2025
NPPES CertifiedAugust 18, 2025
✔ NPI 1861727992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in NM · 0143131
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License T-0122951 (NM)
624 E MAIN ST, Tucumcari, NM 88401

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

Corrianne H Broner 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 ID8921528837
PECOS Enrollment IDI20250221003566
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 Reassignment

Medicare enrollment records show Corrianne Broner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community/Behavioral Health
624 E MAIN ST
Tucumcari, NM 88401
  • Reassigned Medicare billing, New Mexico enrollment

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

Community/Behavioral Health
624 E MAIN ST
TUCUMCARI, NM 88401

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 Corrianne Broner's NPI number?

The NPI number for Corrianne Broner is 1861727992. It was assigned to this individual provider in the NPPES registry on October 7, 2009.

Where is Corrianne Broner located?

Corrianne Broner practices at 624 E Main St, Tucumcari, NM 88401. The listed phone number is (505) 307-6476.

What is Corrianne Broner's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Corrianne Broner enrolled in Medicare?

Yes. Corrianne Broner 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 organization bills Medicare for Corrianne Broner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Corrianne Broner reassigns Medicare benefits to Loving Embodiment LLC (Tucumcari, NM). 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 Corrianne Broner'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 Corrianne Broner was last updated on August 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.