Nicole Broderson, RN, MSN, PMHNP-BC

ActiveIndividual ProviderNurse Practitioner
NPI issued: August 27, 2011

Quick Facts

NPI Number
1124308689
TypeIndividual
StatusActive
SpecialtyNurse Practitioner
Taxonomy363LP0808X — Nurse Practitioner
Phone
(505) 428-0072
StateNM

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1124308689)
✅Active status confirmed
✅Verified by CMS NPPES Registry
✅HIPAA compliant identifier
✅Enumeration date on file (August 27, 2011)
Data source: CMS NPPES

Provider Overview

NICOLE BRODERSON, RN, MSN, PMHNP-BC is a Nurse Practitioner provider based in Santa Fe, NM who has been registered with CMS since 2011. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1124308689
Provider TypeIndividual Provider
GenderFemale
CredentialRN, MSN, PMHNP-BC
StatusActive
Enumeration DateAugust 27, 2011

Practice Location

CitySanta Fe
StateNM
ZIP Code87505-4073
Phone(505) 428-0072

Specialties & Licenses

★ Primary
SpecialtyNurse Practitioner
Taxonomy Code363LP0808X
License StateNM

Mailing Address

CitySanta Fe
StateNM
ZIP Code87505-4073
Phone(505) 428-0072
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1124308689 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1124308689for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1124308689 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Nurse Practitioner

Family Nurse Practitioners (FNPs) provide comprehensive primary healthcare services across the lifespan, including diagnostic assessments, prescribing medications, and disease prevention education.

Browse all Nurse Practitionerproviders →
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53,937
Nurse Practitioner Providers in the US

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People Also Ask

What is Nicole Broderson's NPI number?
Nicole Broderson's NPI number is 1124308689, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Nicole Broderson's NPI currently active?
Yes, Nicole Broderson's NPI status is Active as of the latest CMS NPPES database updates.
What does Nicole Broderson specialize in?
Nicole Broderson specializes in Nurse Practitioner. The healthcare taxonomy code associated with this specialty is 363LP0808X.
Where does Nicole Broderson practice?
Nicole Broderson practices in Santa Fe, NM 87505-4073.
When was Nicole Broderson's NPI issued?
Nicole Broderson's NPI was issued on August 27, 2011.
What is Nicole Broderson's provider type?
Nicole Broderson is registered as an Individual Provider under CMS NPI Type 1.