DR. NICOLE BRODEN OD
NPI 1891356606
Optometrist in Lakeville, MN
About Dr. Nicole Broden Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. NICOLE BRODEN OD (NPI 1891356606) is an individual optometrist in Lakeville, Minnesota, licensed in Minnesota (3996) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (2019).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Dr. Nicole Broden Od 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.
Medicare Billing Reassignment
Medicare enrollment records show Nicole Broden reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
East Hartford, CT 06108
- Reassigned Medicare billing, Connecticut enrollment
- 75 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 55044 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 Nicole Broden's NPI number?
The NPI number for Nicole Broden is 1891356606. It was assigned to this individual provider in the NPPES registry on June 23, 2019.
Where is Nicole Broden located?
Nicole Broden practices at 20710 Keokuk Ave, Lakeville, MN 55044. The listed phone number is (612) 354-5931.
What is Nicole Broden's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Nicole Broden enrolled in Medicare?
Yes. Nicole Broden 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 Nicole Broden's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Broden reassigns Medicare benefits to First Choice Health Centers, Inc. (East Hartford, CT). 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 Nicole Broden's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nicole Broden accept?
Health plans from Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Louisiana list Nicole Broden 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 Nicole Broden was last updated on January 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Dr. Nicole Broden, OD · NPI 1891356606
Optometrist provider in Lakeville, Minnesota. Individual provider, active in the CMS NPPES registry since June 23, 2019.
## Identity
- **NPI:** 1891356606 (Entity type: Individual)
- **Enumerated:** June 23, 2019
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 3996 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 20710 KEOKUK AVE, Lakeville, MN 55044-6620
- **Phone:** (612) 354-5931
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** First Choice Health Centers, Inc. (NPI 1760877864, East Hartford, CT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** New England College Of Optometry, class of 2019
## Record status
- **NPPES last updated:** January 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1891356606) · Data from the CMS NPPES public registry.