MRS. CANDIA MARIE BROUGHTON (APRN, FNP-C) – Nurse Practitioner, NPI 1265916936

MRS. CANDIA MARIE BROUGHTON (APRN, FNP-C) is a healthcare provider. based in Louisville, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN, FNP-C. They hold a License No. 3012693 (KY). The NPI Number for MRS. CANDIA MARIE BROUGHTON (APRN, FNP-C) is 1265916936

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
MRS. CANDIA MARIE BROUGHTON (APRN, FNP-C)
NPI
1265916936
Phone
(502) 974-3447
Address
601 S Hurstbourne Pkwy
Enumeration Date
19 September 2018
Last Update Date
19 May 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5022274821
Graduation Year
2018 (8 years ago)
PAC ID
4688901788
Group Practice PAC ID
0941547608
Professional Enrollment ID
I20190813000804
Address ID
KY406018415FR4200XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

7,347 NURSE PRACTITIONER in KY

Provider Addresses for MRS. CANDIA MARIE BROUGHTON (APRN, FNP-C)

  • 601 S Hurstbourne Pkwy

    Louisville, KY 402225081

    Phone: (502) 974-3447

    Type: Location

  • 60 Mack Walters Rd

    Shelbyville, KY 400651738

    Phone: (502) 633-4622

    Type: Location

  • 60, Mack Walters Road, Shelbyville, Shelby County, Kentucky, 40065, United States

    SHELBYVILLE, KY 400651738

    Phone: (502) 633-4622

    Type: Location

  • 4200 LAWRENCEBURG RD

    FRANKFORT, KY 406018936

    Phone: (502) 227-4821

    Fax: (502) 227-3013

    Type: Location

  • 909, Fountain Avenue, Louisville, Jefferson County, Kentucky, 40222, United States

    LOUISVILLE, KY 402010909

    Phone: (502) 974-3447

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $55.

Total Amount is formed as General ($55) + Research ($0) + Ownership ($0) = $55.

Last reported payment date: 2024-12-02 • Largest payer in this snapshot: Neurocrine BioSciences, Inc. ($21).

Total Amount

$55

General + Research + Ownership

Payments

3

Total payment records

General Amount

$55

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-02

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: 2019-08-13

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
I20190813000804INurse PractitionerKYTBD

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
99211Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional26288$0
90756Influenza vaccine, quadrivalent derived from cell cultures155155$0
G0008Administration of influenza virus vaccine141141$0
G0127Trimming of dystrophic nails, any number139106$0
91322Sarscov2 vac 50 mcg/0.5ml im135135$0
View full utilization report →

Insurance plans in this area (ZIP 40222)

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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: 0941547608View full group profile
NameSpecialtyState
Family PracticeKY
Nurse PractitionerKY
Nurse PractitionerKY

Reviews

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Frequently asked questions

What is MRS. CANDIA MARIE BROUGHTON (APRN, FNP-C)'s NPI number?
MRS. CANDIA MARIE BROUGHTON (APRN, FNP-C)'s NPI is 1265916936 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to MRS. CANDIA MARIE BROUGHTON (APRN, FNP-C)?
You should see MRS. CANDIA MARIE BROUGHTON (APRN, FNP-C) as active in CMS-hosted NPPES data.
What area of care is associated with MRS. CANDIA MARIE BROUGHTON (APRN, FNP-C)?
MRS. CANDIA MARIE BROUGHTON (APRN, FNP-C)'s record emphasizes Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MRS. CANDIA MARIE BROUGHTON (APRN, FNP-C)?
Travel planning: use Louisville, Kentucky as the reference point for MRS. CANDIA MARIE BROUGHTON (APRN, FNP-C), then confirm.
What does 5 location(s) imply?
5 practice locations appear in the available data.

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