KRISTEN M BROEDLIN (NP) – Nurse Practitioner, NPI 1649277518

KRISTEN M BROEDLIN (NP) is a healthcare provider. based in Trumbull, Connecticut. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 001608 (CT). The NPI Number for KRISTEN M BROEDLIN (NP) is 1649277518

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
KRISTEN M BROEDLIN (NP)
NPI
1649277518
Phone
(203) 333-8800
Address
112 QUARRY RD
Enumeration Date
6 July 2005
Last Update Date
16 January 2014

Doctor Profile

Medical School Name
BOSTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2033843000
Graduation Year
1996 (30 years ago)
PAC ID
0749453884
Group Practice PAC ID
1254233836
Professional Enrollment ID
I20111104000430
Address ID
CT066102805BR267XXSTXX300
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

4,196 NURSE PRACTITIONER in CT

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Provider Addresses for KRISTEN M BROEDLIN (NP)

  • 112, Quarry Road, Avalon Gates, Trumbull, Fairfield County, Connecticut, 06611, United States

    SUITE 400

    TRUMBULL, CT 066114816

    Phone: (203) 333-8800

    Fax: (203) 333-6054

    Type: Mailing

  • Quarry Road, Avalon Gates, Trumbull, Fairfield County, Connecticut, 06611, United States

    SUITE 400

    TRUMBULL, CT 066114816

    Phone: (203) 333-8800

    Fax: (203) 333-6054

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $252.

Total Amount is formed as General ($252) + Research ($0) + Ownership ($0) = $252.

Last reported payment date: 2024-07-19 • Largest payer in this snapshot: Medtronic, Inc. ($135).

Total Amount

$252

General + Research + Ownership

Payments

4

Total payment records

General Amount

$252

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-19

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2011-11-04

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
I20111104000430INurse PractitionerCTTBD

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
93296Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days312224$0
93294Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days280176$0
93298Evaluation of cardiac rhythm monitor system, remote up to 30 days26477$0
G2066Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and tec21669$0
93280Programming of dual lead pacemaker system171141$0
View full utilization report →

Insurance plans in this area (ZIP 06611)

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Provider's Procedures

KRISTEN M BROEDLIN (NP) performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERCT93280Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report3029
NURSE PRACTITIONERCT93284Evaluation, testing and programming adjustment of defibrillator with analysis, review and report2218

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: 1254233836View full group profile
NameSpecialtyState
Interventional Cardiology, Cardiovascular Disease (Cardiology)CT
-CT
-CT
Internal MedicineNJ
Hospitalist, Internal MedicineCT
-CT
-CT
Internal MedicineCT
Nurse PractitionerCT
Physician AssistantCT

Reviews

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Frequently asked questions

Does KRISTEN M BROEDLIN (NP) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KRISTEN M BROEDLIN (NP) uses 1649277518.
Does CMS list KRISTEN M BROEDLIN (NP) as active?
Yes — KRISTEN M BROEDLIN (NP) is active in the NPI listing used on this page.
What taxonomy line describes KRISTEN M BROEDLIN (NP)?
For research purposes, treat KRISTEN M BROEDLIN (NP) as Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for KRISTEN M BROEDLIN (NP)?
KRISTEN M BROEDLIN (NP)'s geographic hint is Trumbull, Connecticut in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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