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MRS. ANNE C BRODERSON APRN, FNP-C
NPI 1992269534
Nurse Practitioner - Family in Kailua Kona, HI

Active since January 28, 2019Opted out of Medicare · through Jul 1, 2027
75-5699 KOPIKO ST UNIT 5, KAILUA KONA, HI 96740(808) 215-6574(808) 758-0043 Get Directions Write a Review

NPPES record last updated: November 30, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 13, 2024, Jun 23, 2024, Oct 23, 2023 and 2 more (5 updates tracked since 2019).

About Mrs. Anne C Broderson Aprn, Fnp-c NPPES

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

MRS. ANNE C BRODERSON APRN, FNP-C (NPI 1992269534) is an individual family provider in Kailua Kona, Hawaii, licensed in Hawaii (APRN-2600) and active in the NPI registry since January 2019. She has opted out of Medicare through July 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1992269534
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. ANNE C BRODERSONCredential: APRN, FNP-C
Location Address75-5699 KOPIKO ST UNIT 5Kailua Kona, HI 96740-3651
Mailing AddressPo Box 286Holualoa, HI 96725-0286 · (808) 215-6574 · Fax (808) 758-0043
Phone(808) 215-6574
Fax(808) 758-0043
Sole ProprietorYes
Enumeration DateJanuary 28, 2019
Last NPPES UpdateNovember 30, 20245 updates tracked since enumeration
NPPES CertifiedNovember 30, 2024
✔ NPI 1992269534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in HI · APRN-2600
Also ListedRegistered NurseTaxonomy 163W00000X · License RN-63490 (HI)
75-5699 KOPIKO ST UNIT 5, Kailua Kona, HI 96740
Open in Google Maps ↗

Other Identifiers 1

Medicaid830689HI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Anne C Broderson Aprn, Fnp-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2025 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2025
Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96740 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
$92.50 typical visit price
range $60.53 – $180.05
Typical copayment $23.12 (range $15.13 – $45.01)
Most-billed visit code 99203
Established Patient
$105.65 typical visit price
range $20.09 – $147.56
Typical copayment $26.41 (range $5.02 – $36.89)
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.

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 Anne Broderson's NPI number?

The NPI number for Anne Broderson is 1992269534. It was assigned to this individual provider in the NPPES registry on January 28, 2019.

Where is Anne Broderson located?

Anne Broderson practices at 75-5699 Kopiko St Unit 5, Kailua Kona, HI 96740. The listed phone number is (808) 215-6574.

What is Anne Broderson's specialty?

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

Is Anne Broderson enrolled in Medicare?

No. Anne Broderson has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Anne Broderson was last updated on November 30, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.