Individual provider Active NPI

Andrea M Broughton, APRN

  • Family Nurse Practitioner
  • Franklin, KY
National Provider Identifier
1104177005
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3007584 Issued in KY
Practice address
1112 S Main St Ste 7
Franklin, KY 42134-2322
Phone
(270) 745-7246
Fax
(270) 282-2027
NPI assigned
Oct 2, 2012
Last updated
Feb 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3007584 KY
Family Nurse Practitioner 363LF0000X 3007584 KY Primary

Addresses

Primary practice location

1112 S Main St Ste 7
Franklin, KY 42134-2322

Mailing address

PO Box 21890
Belfast, ME 04915-4115
Phone (502) 907-0356

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address andrea.broughton.1@16521.direct.athenahealth.com Commonwealth Pain Associates, PLLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20150120002002 KY Practitioner - Nurse Practitioner 8820312911 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
89.99 of 100Reported as group
Quality
81.97
Promoting interoperability
97
Improvement activities
40
Cost
77.29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3007584KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Interventional Pain Specialists of Bowling Green PLC Nurse Practitioner CurrentSince Nov 1, 2015 Accepting new patients
Commonwealth Health Corporation, Inc. CurrentSince Jun 10, 2025 Accepting new patients
Commonwealth Pain Associates PLLC CurrentSince Aug 1, 2023 Accepting new patients
Interventional Pain Specialists of Bowling Green, PLC Nurse Practitioner CurrentSince Nov 1, 2015 Accepting new patients
Commonwealth Pain Associates, PLLC Nurse Practitioner CurrentSince Aug 1, 2023 Accepting new patients
Commonwealth Health Corporation, Inc. Nurse Practitioner CurrentSince Jun 10, 2025 Accepting new patients
Commonwealth Health Corporation, Inc Nurse Practitioner Current Accepting new patients
Interventional Pain Specialists of Bowling Green PLC Nurse Practitioner PastSince Nov 5, 2023 Accepting new patients

Locations

165 Natchez Trace Ave
Ste 205
Bowling Green, KY 42103
Phone (270) 282-2024

250 Park St
Bowling Green, KY 42101
Phone (270) 745-1000

350 Park St
Ste 203
Bowling Green, KY 42101
Phone (270) 781-0075

825 2nd Ave
Ste C6
Bowling Green, KY 42101
Phone (270) 745-7246

1112 S Main St
Ste 7
Franklin, KY 42134
Phone (270) 745-7246

223 Executive Park
Louisville, KY 40207

120 Executive Park
St Matthews, KY 40207
Phone (502) 409-9925

Interoperability endpoints

  • Direct secure messaging: andrea.broughton.1@16521.direct.athenahealth.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1349136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1104177005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21890",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154115",
            "telephone_number": "502-907-0356",
            "fax_number": "502-919-9780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 S MAIN ST STE 7",
            "city": "FRANKLIN",
            "state": "KY",
            "postal_code": "421342322",
            "telephone_number": "270-745-7246",
            "fax_number": "270-282-2027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUGHTON",
        "first_name": "ANDREA",
        "middle_name": "M",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-02",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3007584",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3007584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "andrea.broughton.1@16521.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "Commonwealth Pain Associates, PLLC",
            "address_1": "1112 S Main St Ste 7",
            "city": "Franklin",
            "state": "KY",
            "country_code": "US",
            "postal_code": "421342322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Franklin, KY

Sources for this page

Verify at the official NPI Registry.