MRS. GRETCHEN A BROECKER (MS, RD, CDE) – Nutrition Education Nutritionist, NPI 1164675013

MRS. GRETCHEN A BROECKER (MS, RD, CDE) is a healthcare provider. based in Frisco, Colorado. specializing in REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL. They hold the professional credentials MS, RD, CDE. They hold a License No. 885627 (CO). The NPI Number for MRS. GRETCHEN A BROECKER (MS, RD, CDE) is 1164675013

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
MRS. GRETCHEN A BROECKER (MS, RD, CDE)
NPI
1164675013
Phone
(970) 668-5584
Address
360 PEAK ONE DRIVE
Enumeration Date
23 October 2008
Last Update Date
29 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9709266340
Graduation Year
1999 (27 years ago)
PAC ID
0840590683
Group Practice PAC ID
5496087181
Professional Enrollment ID
I20151130000797
Address ID
CO816205428AV50XXXRDXX406
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

135 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in CO

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Provider Addresses for MRS. GRETCHEN A BROECKER (MS, RD, CDE)

  • Peak One Drive, Frisco, Summit County, Colorado, 80443, United States

    STE 260

    FRISCO, CO 804430000

    Phone: (970) 668-5584

    Fax: (970) 262-2196

    Type: Location

  • 365 Dillon Ridge Rd Ste 1200

    Dillon, CO 804356344

    Phone: (970) 926-6340

    Type: Location

  • 50 Buck Creek Rd Ste 200

    Avon, CO 816205428

    Phone: (970) 926-6340

    Type: Location

  • 50 Buck Creek Rd Ste 300

    Avon, CO 816205428

    Phone: (970) 926-6340

    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: 2015-11-30

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
I20151130000797IRegistered Dietitian Or Nutrition ProfessionalCOTBD

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
G0108Diabetes outpatient self-management training services, individual, per 30 minutes4017$0
View full utilization report →

Insurance plans in this area (ZIP 80443)

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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: 5496087181View full group profile
NameSpecialtyState
-CO
Family Practice, Emergency MedicineCO
-CO
Nurse PractitionerCO
Nurse PractitionerCO
Physician AssistantWI
-CO
Emergency Medicine, Preventive MedicineCO
-CO
-CO

Reviews

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Frequently asked questions

What is the registry number for MRS. GRETCHEN A BROECKER (MS, RD, CDE)?
The registry entry for MRS. GRETCHEN A BROECKER (MS, RD, CDE) shows NPI 1164675013.
Is MRS. GRETCHEN A BROECKER (MS, RD, CDE)'s NPI status active today?
Active status means MRS. GRETCHEN A BROECKER (MS, RD, CDE)'s NPI record is not deactivated in the public file.
What type of care does MRS. GRETCHEN A BROECKER (MS, RD, CDE) provide?
MRS. GRETCHEN A BROECKER (MS, RD, CDE)'s profile centers on Nutrition Education Nutritionist. Clinical services aligned with this taxonomy classification.
Which community is linked to MRS. GRETCHEN A BROECKER (MS, RD, CDE)?
MRS. GRETCHEN A BROECKER (MS, RD, CDE) shows a connection to Frisco, Colorado in registry-derived data.
Who maintains MRS. GRETCHEN A BROECKER (MS, RD, CDE)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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