KATHRYN BROUSSARD (FNP-C) – Family Nurse Practitioner, NPI 1225579774
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,440 NURSE PRACTITIONER in TX
Provider Addresses for KATHRYN BROUSSARD (FNP-C)
12854 Old Highway 62
Orange, TX 776326286
Phone: (409) 201-6008
Type: Location
1 Medical Center Drive
Clarendon, TX 79226
Phone: (806) 874-3531
Type: Location
Drive, 5, Freemen's Common Road, Bede Island, Leicester, City of Leicester, East Midlands, England, LE2 7SL, United Kingdom
CLARENDON, TX 792267807
Phone: (806) 874-3531
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 $57.
Total Amount is formed as General ($57) + Research ($0) + Ownership ($0) = $57.
Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Novo Nordisk Inc ($57).
Total Amount
$57
General + Research + Ownership
Payments
3
Total payment records
General Amount
$57
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $57 |
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: 2017-05-02
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20170502001446 | I | Nurse Practitioner | TX | 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 | 39 | 37 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 31 | 29 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 27 | 13 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 17 | 16 | $0 |
| 90674 | Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free | 13 | 13 | $0 |
Insurance plans in this area (ZIP 77632)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX |
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