MRS. JAMILIA LASHAWN BROUSSARD (MSN RN FNP-BC WCC) – Family Nurse Practitioner, NPI 1184122145
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,299 NURSE PRACTITIONER in OK
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Provider Addresses for MRS. JAMILIA LASHAWN BROUSSARD (MSN RN FNP-BC WCC)
1001, 12th Avenue Northwest, Ardmore, Carter County, Oklahoma, 73401, United States
ARDMORE, OK 734015712
Phone: (580) 220-6290
Fax: (580) 220-6215
Type: Location
PO BOX 678219
DALLAS, TX 752678219
Phone: (214) 970-6817
Fax: (844) 803-4513
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 35 Open Payments records for all available years, with a total value of $2,441.
Total Amount is formed as General ($2,441) + Research ($0) + Ownership ($0) = $2,441.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Smith+Nephew, Inc. ($1,833).
Total Amount
$2,441
General + Research + Ownership
Payments
35
Total payment records
General Amount
$2,441
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $1,833 |
| Organogenesis Inc. | $162 |
| Kerecis Limited | $161 |
| Paratek Pharmaceuticals, Inc. | $76 |
| Solventum Corporation | $45 |
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: 2022-08-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20210614001748 | I | Nurse Practitioner | TX | TBD |
| I20220805000516 | I | Nurse Practitioner | NC | 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 |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 801 | 213 | $0 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 269 | 125 | $0 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 189 | 74 | $0 |
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 139 | 71 | $0 |
| 11045 | Removal of skin and tissue, each additional 20.0 sq cm or less | 128 | 25 | $0 |
Insurance plans in this area (ZIP 73401)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| Nurse Practitioner | WA | |
| - | NC | |
| - | NC | |
| Nurse Practitioner | NC | |
| Family Practice, Podiatry | WI | |
| Physician Assistant | NC | |
| - | NC | |
| - | NC | |
| General Surgery | NC |
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