DESTINY GRACE BROOM FNP
NPI 1982446225
Nurse Practitioner - Family in Mccomb, MS

Active since June 08, 2024PECOS EnrolledAccepts Medicare Assignment
134 MARION AVE, MCCOMB, MS 39648(601) 300-8252 Get Directions Write a Review

NPPES record last updated: October 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 1, 2024, Aug 12, 2024, Jun 21, 2024 and 1 more (4 updates tracked since 2024).

About Destiny Grace Broom Fnp NPPES

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

DESTINY GRACE BROOM FNP (NPI 1982446225) is an individual family provider in Mccomb, Mississippi, licensed in Mississippi (906701) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS, is affiliated with King's Daughters Medical Center-brookhaven, and maintains a secondary practice location in Hattiesburg.

NPPES Registry Identity

NPI1982446225
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDESTINY GRACE BROOMCredential: FNP
Location Address134 MARION AVEMccomb, MS 39648-3620
Mailing Address134 Marion AveMccomb, MS 39648-3620 · (985) 805-2555
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJune 8, 2024
Last NPPES UpdateOctober 1, 20244 updates tracked since enumeration
NPPES CertifiedOctober 1, 2024
NPI 1982446225 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 MS · 906701
134 MARION AVE, Mccomb, MS 39648

Secondary Practice Location 1

Location 1112 Sheffield Loop Ste BHattiesburg, MS 39402-1406 · Phone (601) 501-7203

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Destiny Grace Broom Fnp 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 ID2860937455
PECOS Enrollment IDI20240708002019, I20250716001555
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
32 services29 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
11 services11 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

King's Daughters Medical Center-Brookhaven

Acute Care Hospitals · Brookhaven, MS
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number250057
Location427 Highway 51 NorthBrookhaven, MS 39601 · Lincoln County
Emergency services Birthing friendly

Forrest General Hospital

Acute Care Hospitals · Hattiesburg, MS
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number250078
Location6051 Us Highway 49 SouthHattiesburg, MS 39404 · Forrest County
Emergency services Birthing friendly

Merit Health Natchez

Acute Care Hospitals · Natchez, MS
2/5 CMS rating
OwnershipProprietary
CMS Certification Number250084
Location52 Sergeant Prentiss DriveNatchez, MS 39120 · Adams County
Emergency services Birthing friendly

Southwest Ms Regional Medical Center

Acute Care Hospitals · Mccomb, MS
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number250097
Location215 Marion Av Box 1307Mccomb, MS 39649 · Pike County
Emergency services Birthing friendly

Field Health System

Critical Access Hospitals · Centreville, MS
OwnershipGovernment - Local
CMS Certification Number251309
Location178 Highway 24Centreville, MS 39631 · Wilkinson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39648 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

Speech-Language Pathologist
134 MARION AVE
MCCOMB, MS 39648
Clinic/Center
134 MARION AVE
MCCOMB, MS 39648
Chiropractor
134 MARION AVE
MCCOMB, MS 39648
Chiropractor
134 MARION AVE
MCCOMB, MS 39648
Chiropractor
134 MARION AVE
MCCOMB, MS 39648
Chiropractor
134 MARION AVE
MCCOMB, MS 39648

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 Destiny Broom's NPI number?

The NPI number for Destiny Broom is 1982446225. It was assigned to this individual provider in the NPPES registry on June 8, 2024.

Where is Destiny Broom located?

Destiny Broom practices at 134 Marion Ave, Mccomb, MS 39648. The listed phone number is (601) 300-8252.

What is Destiny Broom's specialty?

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

Is Destiny Broom enrolled in Medicare?

Yes. Destiny Broom 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.

What insurance does Destiny Broom accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Destiny Broom 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.

Is Destiny Broom affiliated with any hospitals?

According to CMS data, Destiny Broom is affiliated with King's Daughters Medical Center-Brookhaven, Forrest General Hospital, Merit Health Natchez, Southwest Ms Regional Medical Center and Field Health System.

When was this NPI record last updated?

The NPPES record for Destiny Broom was last updated on October 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.