ANDREA M BROUGHTON (APRN) – Family Nurse Practitioner, NPI 1104177005
Family Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ANDREA M BROUGHTON (APRN)
825 2ND AVE
SUITE C6
BOWLING GREEN, KY 421011786
Phone: (270) 393-1912
Fax: (270) 393-1913
Type: Mailing
165 NATCHEZ TRACE AVE
SUITE 205
BOWLING GREEN, KY 421037940
Phone: (270) 282-2024
Fax: (270) 282-2027
Type: Location
PO BOX 21890
BELFAST, ME 049154115
Phone: (502) 907-0356
Fax: (502) 919-9780
Type: Mailing
1112 S MAIN ST STE 7
FRANKLIN, KY 421342322
Phone: (270) 745-7246
Fax: (270) 282-2027
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $172.
Total Amount is formed as General ($172) + Research ($0) + Ownership ($0) = $172.
Last reported payment date: 2024-06-28 • Largest payer in this snapshot: Lundbeck LLC ($72).
Total Amount
$172
General + Research + Ownership
Payments
7
Total payment records
General Amount
$172
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lundbeck LLC | $72 |
| Mozarc Medical US LLC | $37 |
| Abbott Laboratories | $35 |
| ABBVIE INC. | $28 |
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: 2015-01-20
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 |
|---|---|---|---|---|
| I20150120002002 | I | Nurse Practitioner | KY | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 151 | 119 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 135 | 115 | $0 |
| 80307 | Testing for presence of drug, by chemistry analyzers | 97 | 87 | $0 |
| G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 62 | 56 | $0 |
| G0481 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 42 | 42 | $0 |
Insurance plans in this area (ZIP 42101)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Anesthesiology, Pain Management | TN | |
| - | KY | |
| - | KY |
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