DANIELLE N BRODERSEN (NP) – Acute Care Nurse Practitioner, NPI 1407250830

DANIELLE N BRODERSEN (NP) is a healthcare provider. based in Des moines, Iowa. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. L117212 (IA). The NPI Number for DANIELLE N BRODERSEN (NP) is 1407250830

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
DANIELLE N BRODERSEN (NP)
NPI
1407250830
Phone
(515) 247-4240
Address
PO BOX 1475
Enumeration Date
14 October 2014
Last Update Date
16 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5152635612
Graduation Year
2014 (12 years ago)
PAC ID
1355563768
Group Practice PAC ID
1052229275
Professional Enrollment ID
I20141118002562
Address ID
IA503162302DE700XXAVEX407
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:11State licenses:1Digital endpointsOther names

3,529 NURSE PRACTITIONER in IA

Provider Addresses for DANIELLE N BRODERSEN (NP)

  • PO BOX 1475

    DES MOINES, IA 503051475

    Phone: (515) 247-4240

    Fax: (515) 247-4239

    Type: Mailing

  • 1111 6TH AVE

    DES MOINES, IA 503142613

    Phone: (515) 247-4240

    Fax: (515) 247-4239

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $277.

Total Amount is formed as General ($277) + Research ($0) + Ownership ($0) = $277.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) ($262).

Total Amount

$277

General + Research + Ownership

Payments

17

Total payment records

General Amount

$277

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

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: 2014-11-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-11-30 (921 days ago).

Enrollment records

1

Earliest due date

2023-11-30

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
I20141118002562INurse PractitionerIA2023-11-30

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes5446$0
99291Critical care, first 30-74 minutes1211$0
View full utilization report →

Insurance plans in this area (ZIP 50305)

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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: 1052229275View full group profile
NameSpecialtyState
Infectious Disease, Internal MedicineIA
Emergency MedicineIA
-IA
-IA
Cardiovascular Disease (Cardiology), Internal MedicineIA
-IA
Nurse PractitionerIA
-IA
-IA
Nurse PractitionerIA

Reviews

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Frequently asked questions

Is DANIELLE N BRODERSEN (NP) listed with a National Provider Identifier?
Yes — DANIELLE N BRODERSEN (NP) has NPI 1407250830 on file in the registry.
Is DANIELLE N BRODERSEN (NP) shown as active in public data?
Registry records indicate DANIELLE N BRODERSEN (NP) maintains an active NPI.
What expertise is attributed to DANIELLE N BRODERSEN (NP)?
DANIELLE N BRODERSEN (NP)'s specialty line reads Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is DANIELLE N BRODERSEN (NP) located near Des Moines?
DANIELLE N BRODERSEN (NP) currently maps to Des Moines, Iowa in this extract.
When was this NPI issued?
Enumeration for DANIELLE N BRODERSEN (NP) is noted as October 14, 2014 where the registry provides it.

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