MICHELLE K BROACH (CRNA) – Certified Registered Nurse Anesthetist, NPI 1386981108

MICHELLE K BROACH (CRNA) is a healthcare provider. based in Fort lauderdale, Florida. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. RN175404 (GA). The NPI Number for MICHELLE K BROACH (CRNA) is 1386981108

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
MICHELLE K BROACH (CRNA)
NPI
1386981108
Phone
(800) 243-3839
Address
PO BOX 551420
Enumeration Date
14 January 2013
Last Update Date
17 November 2014

Doctor Profile

Medical School Name
MERCER UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6785141991
Graduation Year
2012 (14 years ago)
PAC ID
8921252586
Group Practice PAC ID
7618934779
Professional Enrollment ID
I20130206000529
Address ID
GA300335918DE2701XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

1,710 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in GA

Provider Addresses for MICHELLE K BROACH (CRNA)

  • PO BOX 551420

    FORT LAUDERDALE, FL 333551420

    Phone: (800) 243-3839

    Fax: (855) 851-4405

    Type: Mailing

  • 777 HEMLOCK ST

    MACON, GA 312012102

    Phone: (866) 507-5244

    Fax: (855) 851-4405

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $13.

Total Amount is formed as General ($13) + Research ($0) + Ownership ($0) = $13.

Last reported payment date: 2023-01-27 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($13).

Total Amount

$13

General + Research + Ownership

Payments

1

Total payment records

General Amount

$13

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-27

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Merck Sharp & Dohme LLC$13
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: 2013-02-06

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
I20130206000529ICertified Registered Nurse Anesthetist (Crna)GATBD

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
00811Anesthesia for other procedure on large bowel using an endoscope1818$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1212$0
00813Anesthesia for procedure on small and large bowel using an endoscope1212$0
View full utilization report →

Insurance plans in this area (ZIP 33355)

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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: 7618934779View full group profile
NameSpecialtyState
Anesthesiology AssistantGA
Certified Registered Nurse Anesthetist (Crna)GA
Anesthesiology AssistantGA
Certified Registered Nurse Anesthetist (Crna)FL
Pain Management, Anesthesiology, Interventional Pain ManagementGA
-TX
-KY
-SC
Anesthesiology AssistantGA
Certified Registered Nurse Anesthetist (Crna)TX

Reviews

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Frequently asked questions

Is there an official ID for MICHELLE K BROACH (CRNA) in U.S. healthcare records?
The official identifier for MICHELLE K BROACH (CRNA) is NPI 1386981108.
Is there an active status for MICHELLE K BROACH (CRNA)?
For scheduling context, MICHELLE K BROACH (CRNA) is shown as active in the registry.
What area of care is associated with MICHELLE K BROACH (CRNA)?
MICHELLE K BROACH (CRNA)'s record emphasizes Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What locale is associated with MICHELLE K BROACH (CRNA)?
Directory geography for MICHELLE K BROACH (CRNA) centers on Fort Lauderdale, Florida.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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