LIZZETH BROADWAY
NPI 1972842185
Nurse Practitioner - Psychiatric/Mental Health in Fullerton, CA
About Lizzeth Broadway NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIZZETH BROADWAY (NPI 1972842185) is an individual psychiatric/mental health provider in Fullerton, California, licensed in California (559684) and active in the NPI registry since February 2013. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lizzeth Broadway is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Lizzeth Broadway reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Chino Hills, CA 91709
- Reassigned Medicare billing, California enrollment
- 2,584 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 92831 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FULLERTON, CA 92831
FULLERTON, CA 92831
FULLERTON, CA 92831
FULLERTON, CA 92831
FULLERTON, CA 92831
FULLERTON, CA 92831
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 Lizzeth Broadway's NPI number?
The NPI number for Lizzeth Broadway is 1972842185. It was assigned to this individual provider in the NPPES registry on February 7, 2013.
Where is Lizzeth Broadway located?
Lizzeth Broadway practices at 800 N State College Blvd, Fullerton, CA 92831. The listed phone number is (657) 278-3040.
What is Lizzeth Broadway's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Lizzeth Broadway enrolled in Medicare?
Yes. Lizzeth Broadway is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Lizzeth Broadway's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lizzeth Broadway reassigns Medicare benefits to Faculty Physicians And Surgeons Of Llusm (Chino Hills, CA). 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 Lizzeth Broadway'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 Lizzeth Broadway was last updated on November 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Lizzeth Broadway · NPI 1972842185
Psychiatric/Mental Health physician in Fullerton, California. Individual provider, active in the CMS NPPES registry since February 7, 2013.
## Identity
- **NPI:** 1972842185 (Entity type: Individual)
- **Enumerated:** February 7, 2013
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 559684 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 800 N STATE COLLEGE BLVD, Fullerton, CA 92831-3547
- **Phone:** (657) 278-3040
## 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:** Faculty Physicians And Surgeons Of Llusm (NPI 1811205131, Chino Hills, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 21, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1972842185) · Data from the CMS NPPES public registry.