DR. KRISTIN BROUSSEAU (D.O.) – Psychiatry Physician, NPI 1124092283

DR. KRISTIN BROUSSEAU (D.O.) is a healthcare provider. based in Boulder, Colorado. specializing in NEUROPSYCHIATRY. They hold the professional credentials D.O.. They hold a License No. 40799 (CO). The NPI Number for DR. KRISTIN BROUSSEAU (D.O.) is 1124092283

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. KRISTIN BROUSSEAU (D.O.)
NPI
1124092283
Phone
(303) 399-8020
Address
1985 BLUEBELL AVE
Enumeration Date
15 February 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE
Secondary Phone
3034575719
Graduation Year
1999 (27 years ago)
PAC ID
5193626539
Group Practice PAC ID
5597766089
Professional Enrollment ID
I20040119000059
Address ID
CO800262790LA1400XAVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

14 NEUROPSYCHIATRY in CO

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Provider Addresses for DR. KRISTIN BROUSSEAU (D.O.)

  • 1985, Bluebell Avenue, Boulder, Boulder County, Colorado, 80302, United States

    BOULDER, CO 803028023

    Phone: (303) 399-8020

    Fax: (303) 370-7519

    Type: Mailing

  • Denver Veterans Affairs Medical Center, 1055, Clermont Street, Denver, Denver County, Colorado, 80220, United States

    ROOM 8D128

    DENVER, CO 802203808

    Phone: (303) 399-8020

    Fax: (303) 370-7519

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2004-01-19

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
I20040119000059INeuropsychiatryCOTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes5239$0
99215Established patient office or other outpatient visit, 40-54 minutes3117$0
View full utilization report →

Insurance plans in this area (ZIP 80302)

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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: 5597766089View full group profile
NameSpecialtyState
P S Y C H I A T R YCO
-CO

Reviews

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Frequently asked questions

What NPI should I save for DR. KRISTIN BROUSSEAU (D.O.)?
Save NPI 1124092283 if you need a stable reference for DR. KRISTIN BROUSSEAU (D.O.).
Is DR. KRISTIN BROUSSEAU (D.O.) active in the national directory?
DR. KRISTIN BROUSSEAU (D.O.)'s public NPI profile is in an active state.
What does DR. KRISTIN BROUSSEAU (D.O.) treat or focus on?
Patients typically see DR. KRISTIN BROUSSEAU (D.O.) under the specialty Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DR. KRISTIN BROUSSEAU (D.O.)?
The snapshot lists Boulder, Colorado for DR. KRISTIN BROUSSEAU (D.O.); download NPPES for the complete set.
How can I contact DR. KRISTIN BROUSSEAU (D.O.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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