MRS. KRISTEN L BROOM (RN, FNP) – Family Nurse Practitioner, NPI 1073502969

MRS. KRISTEN L BROOM (RN, FNP) is a healthcare provider. based in Elkridge, Maryland. specializing in NURSE PRACTITIONER. They hold the professional credentials RN, FNP. They hold a License No. R209609 (MD). The NPI Number for MRS. KRISTEN L BROOM (RN, FNP) is 1073502969

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KRISTEN L BROOM (RN, FNP)
NPI
1073502969
Phone
(443) 761-7045
Address
6095 MARSHALEE DR
Enumeration Date
14 October 2005
Last Update Date
11 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4108372050
Graduation Year
1997 (29 years ago)
PAC ID
6709890965
Group Practice PAC ID
5395644835
Professional Enrollment ID
I20220317001035
Address ID
MD212015505BA1111XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

6,767 NURSE PRACTITIONER in MD

Loading map...

Provider Addresses for MRS. KRISTEN L BROOM (RN, FNP)

  • 6095, Marshalee Drive, Woodland Village, Elkridge, Howard County, Maryland, 21075, United States

    SUITE 100

    ELKRIDGE, MD 210756053

    Phone: (443) 761-7045

    Fax: (844) 753-7132

    Type: Mailing

  • 6901 SECURITY BLVD STE 200

    WINDSOR MILL, MD 212442412

    Phone: (410) 837-2050

    Type: Location

  • 1111 N CHARLES ST

    BALTIMORE, MD 212015505

    Phone: (410) 837-2050

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-01-16

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
I20200116000936INurse PractitionerMDTBD

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
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes3333$0
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes2929$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes2925$0
99495Transitional care management services for problem of at least moderate complexity1515$0
View full utilization report →

Insurance plans in this area (ZIP 21075)

Loading plans...

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: 5395644835View full group profile
NameSpecialtyState
Certified Nurse Midwife (Cnm)MD
Nurse PractitionerDC
-MD
Clinical Social WorkerMD
Nurse PractitionerMD
-MD
Clinical Social WorkerMD
-MD
Registered Dietitian Or Nutrition ProfessionalMD
Family PracticeNY

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.

Frequently asked questions

Does MRS. KRISTEN L BROOM (RN, FNP) have a public NPI I can cite?
Public records show MRS. KRISTEN L BROOM (RN, FNP) under NPI 1073502969.
Should I treat MRS. KRISTEN L BROOM (RN, FNP) as an active provider?
Patients and plans typically see MRS. KRISTEN L BROOM (RN, FNP) as active in the national extract.
What does the directory say MRS. KRISTEN L BROOM (RN, FNP) does?
Insurance directories may phrase it differently, but here MRS. KRISTEN L BROOM (RN, FNP) maps to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit MRS. KRISTEN L BROOM (RN, FNP) in Elkridge, Maryland?
For routing, start with Elkridge, Maryland for MRS. KRISTEN L BROOM (RN, FNP), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

Similar Providers

MRS. SIMONE H BRADY (CRNP)

Family Nurse Practitioner
45 SUGAR SAND LN STE A
NPI: 1144202383

MARGO LYNN LUNDH (F.N.P)

Family Nurse Practitioner
6095, Marshalee Drive, Woodland Village, Elkridge, Howard County, Maryland, 21075, United States
NPI: 1598793556

REBECKA SUE HARPER (APNP)

Family Nurse Practitioner
N46777 COUNTY ROAD V
NPI: 1255353736

CRYSTAL GOLLIDAY MORRIS (FNP-C)

Family Nurse Practitioner
6514, Meadowridge Road, Elkridge, Howard County, Maryland, 21075, United States
NPI: 1598857310

MR. OLUSOLA EWEBIYI (APRN)

Family Nurse Practitioner
6514, Meadowridge Road, Elkridge, Howard County, Maryland, 21075, United States
NPI: 1811071608

JENNIFER ELIZABETH RUDDLE-FREY

Family Nurse Practitioner
6085, Marshalee Drive, Woodland Village, Elkridge, Howard County, Maryland, 21075, United States
NPI: 1467516187
6095, Marshalee Drive, Woodland Village, Elkridge, Howard County, Maryland, 21075, United States
NPI: 1083779920
6085, Marshalee Drive, Woodland Village, Elkridge, Howard County, Maryland, 21075, United States
NPI: 1902953086