MIRAGENE BROSSEAU (N.P.) – Adult Health Nurse Practitioner, NPI 1578733556

Adult Health Nurse Practitioner

MIRAGENE BROSSEAU (N.P.) is a healthcare provider. based in Watseka, Illinois. specializing in Adult Health Nurse Practitioner. They hold the professional credentials N.P.. The NPI Number for MIRAGENE BROSSEAU (N.P.) is 1578733556

Main info

Female

22 Years Of Experience

Accepts Medicare Assignment

Name

MIRAGENE BROSSEAU (N.P.)

NPI

1578733556

Phone

(815) 432-5430

Address

125 S 4TH ST

Enumeration Date

6 March 2008

Last Update Date

6 March 2008

Doctor Profile

Medical School Name

OTHER

Secondary Phone

8159394141

Graduation Year

2004 (22 years ago)

PAC ID

6709100050

Group Practice PAC ID

4486601184

Professional Enrollment ID

I20150115001730

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience41

Completeness75

Years active:18State licenses:0Digital endpointsOther names

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Provider Addresses for MIRAGENE BROSSEAU (N.P.)

125, South 4th Street, Watseka, Iroquois County, Illinois, 60970, United States
WATSEKA, IL 609701601
Phone: (815) 432-5430
Fax: (815) 432-6024
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.

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60970)

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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: 4486601184View full group profile

Name	Specialty	State
HANNAH MALONEY (NP)	Nurse Practitioner	IL
ALICIA ONDREY	Nurse Practitioner	IL
WILLIAM S MATTOX (APRN, CNP)	Nurse Practitioner	IL
JEREMY R WRIGHT (FNP-BC)	Nurse Practitioner	IL

Reviews

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Frequently asked questions

What is the registry number for MIRAGENE BROSSEAU (N.P.)?

The registry entry for MIRAGENE BROSSEAU (N.P.) shows NPI 1578733556.

Should I treat MIRAGENE BROSSEAU (N.P.) as an active provider?

Patients and plans typically see MIRAGENE BROSSEAU (N.P.) as active in the national extract.

What services align with MIRAGENE BROSSEAU (N.P.)'s listing?

MIRAGENE BROSSEAU (N.P.)'s public classification highlights Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.

What geographic area is tied to MIRAGENE BROSSEAU (N.P.)?

MIRAGENE BROSSEAU (N.P.) is associated with Watseka, Illinois in the same public data insurers reference.

Why is information missing for MIRAGENE BROSSEAU (N.P.)?

Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.