DR. JULIANNE M WYSOCKI BROADWATER (D.O.) – Emergency Medicine Physician, NPI 1124255203
Emergency Medicine Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,232 EMERGENCY MEDICINE in FL
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Provider Addresses for DR. JULIANNE M WYSOCKI BROADWATER (D.O.)
Halifax Health Medical Center, 303, North Clyde Morris Boulevard, Daytona Beach, Volusia County, Florida, 32114, United States
DAYTONA BEACH, FL 321142709
Phone: (386) 226-4590
Fax: (386) 226-4577
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)
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: 2025-10-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140820002047 | I | Emergency Medicine | DE | TBD |
| I20200130002558 | I | Emergency Medicine | FL | TBD |
| I20250923003915 | I | Emergency Medicine | VT | TBD |
| I20251002001829 | I | Emergency Medicine | NH | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 160 | 158 | $0 |
| 99291 | Critical care, first 30-74 minutes | 81 | 79 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 28 | 26 | $0 |
| 36556 | Insertion of non-tunneled central venous tube for infusion (5 years or older) | 13 | 13 | $0 |
| 31500 | Emergent insertion of breathing tube into windpipe using an endoscope | 12 | 12 | $0 |
Insurance plans in this area (ZIP 32114)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O T O L A R Y N G O L O G Y | FL | |
| Nurse Practitioner | FL | |
| Physician Assistant | FL | |
| U R O L O G Y | FL | |
| Internal Medicine, Hematology/Oncology | FL | |
| Family Practice | FL | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | FL | |
| - | - | |
| Emergency Medicine | FL | |
| Nurse Practitioner | TN |
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