JENNIFER ALISON BROUSSARD (NP) – Family Nurse Practitioner, NPI 1255852851
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,652 NURSE PRACTITIONER in GA
Provider Addresses for JENNIFER ALISON BROUSSARD (NP)
211 GOOSE HOLLOW RD
REYNOLDS, GA 310763505
Phone: (478) 216-1110
Type: Location
PO BOX 1297
HAWKINSVILLE, GA 310367297
Phone: (478) 783-0299
Fax: (478) 783-3730
Type: Mailing
5665 New Northside Dr Ste 200
Atlanta, GA 303284617
Phone: (770) 874-5400
Type: Location
200 Galleria Pkwy SE Ste 1300
Atlanta, GA 303395967
Phone: (800) 893-9698
Type: Location
Taylor Regional Hospital, 222, Perry Highway, Hawkinsville, Pulaski County, Georgia, 31036, United States
HAWKINSVILLE, GA 310366748
Phone: (478) 783-2273
Fax: (478) 783-2272
Type: Location
3400 RIVERSIDE DR
MACON, GA 312102513
Phone: (478) 474-5600
Fax: (478) 471-6769
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $99.
Total Amount is formed as General ($99) + Research ($0) + Ownership ($0) = $99.
Last reported payment date: 2024-10-02 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($83).
Total Amount
$99
General + Research + Ownership
Payments
5
Total payment records
General Amount
$99
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Hologic Sales and Service, LLC | $83 |
| Exeltis, USA Inc. | $16 |
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: 2018-01-05
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180105000850 | I | Nurse Practitioner | GA | 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 |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 144 | 138 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 76 | 74 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 42 | 42 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 35 | 34 | $0 |
Insurance plans in this area (ZIP 31076)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| - | CA | |
| Emergency Medicine | GA | |
| Nurse Practitioner | GA | |
| Internal Medicine | GA | |
| Emergency Medicine | FL | |
| Emergency Medicine | GA | |
| Emergency Medicine | GA | |
| Emergency Medicine | GA | |
| Internal Medicine | GA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.