LAKEESHA SUMONE BROUGHTON-NELSON (PMHNP-BC) – Addiction Medicine (Psychiatry & Neurology) Physician, NPI 1134855992

LAKEESHA SUMONE BROUGHTON-NELSON (PMHNP-BC) is a healthcare provider. based in Montgomery, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. 1-164831 (AL). The NPI Number for LAKEESHA SUMONE BROUGHTON-NELSON (PMHNP-BC) is 1134855992

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
LAKEESHA SUMONE BROUGHTON-NELSON (PMHNP-BC)
NPI
1134855992
Phone
(334) 239-2622
Address
233 WINTON BLOUNT LOOP
Enumeration Date
25 July 2022
Last Update Date
3 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3349546010
Graduation Year
2022 (4 years ago)
PAC ID
3476920166
Group Practice PAC ID
0648534537
Professional Enrollment ID
I20221109002692
Address ID
AL361178053MO7475XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:3State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for LAKEESHA SUMONE BROUGHTON-NELSON (PMHNP-BC)

  • 233 WINTON BLOUNT LOOP

    MONTGOMERY, AL 361173507

    Phone: (334) 239-2622

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 27 Open Payments records for all available years, with a total value of $1,388.

Total Amount is formed as General ($1,388) + Research ($0) + Ownership ($0) = $1,388.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($163).

Total Amount

$1,388

General + Research + Ownership

Payments

27

Total payment records

General Amount

$1,388

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-11-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221109002692INurse PractitionerALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 36117)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0648534537View full group profile
NameSpecialtyState
Nurse PractitionerAL
Mental Health CounselorAL
Clinical Social WorkerAL
Mental Health CounselorAL
Nurse PractitionerAL
Mental Health CounselorAL
Clinical Social WorkerAL
Clinical Social WorkerAL
Mental Health CounselorAL
Clinical Social WorkerAL

Reviews

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Frequently asked questions

What NPI should I save for LAKEESHA SUMONE BROUGHTON-NELSON (PMHNP-BC)?
Save NPI 1134855992 if you need a stable reference for LAKEESHA SUMONE BROUGHTON-NELSON (PMHNP-BC).
Is LAKEESHA SUMONE BROUGHTON-NELSON (PMHNP-BC)'s NPI currently valid?
The extract we use shows LAKEESHA SUMONE BROUGHTON-NELSON (PMHNP-BC) as active.
What field does LAKEESHA SUMONE BROUGHTON-NELSON (PMHNP-BC) work in?
You can think of LAKEESHA SUMONE BROUGHTON-NELSON (PMHNP-BC) as practicing within Addiction Medicine (Psychiatry & Neurology) Physician. Clinical services aligned with this taxonomy classification.
Does LAKEESHA SUMONE BROUGHTON-NELSON (PMHNP-BC) practice in Alabama?
You will see Montgomery, Alabama on file for LAKEESHA SUMONE BROUGHTON-NELSON (PMHNP-BC) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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