Individual provider Active NPI

Andrew Paul Broomell, FNP-BC

  • Family Nurse Practitioner
  • Centreville, VA
National Provider Identifier
1073463113
Registry record updated Mar 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024196451 Issued in VA
Practice address
5900 Fort Dr Ste 201
Centreville, VA 20121-2425
Phone
(703) 830-8113
NPI assigned
Jan 29, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024196451 VA Primary

Addresses

Primary practice location

5900 Fort Dr Ste 201
Centreville, VA 20121-2425

Mailing address

5900 Fort Dr Ste 201
Centreville, VA 20121-2425
Phone (703) 830-8113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260602001855 DC Practitioner - Nurse Practitioner 9830660778 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5900 Fort Dr
Suite 201
Centreville, VA 20121-2445

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024196451VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Benpay Health Group LLC CurrentSince May 1, 2026 Accepting new patients
Health Systems Incorporated CurrentSince May 1, 2026 Accepting new patients

Locations

5900 Fort Dr
Ste 201
Centreville, VA 20121
Phone (703) 830-8113

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1769644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772928000000",
    "number": "1073463113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 FORT DR STE 201",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212425",
            "telephone_number": "703-830-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 FORT DR STE 201",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212425",
            "telephone_number": "703-830-8113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOMELL",
        "first_name": "ANDREW",
        "middle_name": "PAUL",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-01-29",
        "last_updated": "2026-03-08",
        "certification_date": "2026-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024196451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centreville, VA

Sources for this page

Verify at the official NPI Registry.