Andrea M Broughton, APRN
Individual provider Active NPI Family Nurse Practitioner · Franklin, KY
NPI 1104177005 · NPPES record last updated Feb 13, 2024
Key facts
- NPI
- 1104177005
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 3007584 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.99 of 100
- Quality
- 81.97
- Promoting interoperability
- 97
- Improvement activities
- 40
- Cost
- 77.29
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150120002002 | KY | Practitioner - Nurse Practitioner | 8820312911 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3007584 | KY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Interventional Pain Specialists of Bowling Green, PLC | Nurse Practitioner | Current |
Accepting new patients |
| Commonwealth Health Corporation, Inc. | Current |
Accepting new patients | |
| Commonwealth Health Corporation, Inc | Nurse Practitioner | Current | Accepting new patients |
| Interventional Pain Specialists of Bowling Green PLC | Nurse Practitioner | Current |
Accepting new patients |
| Commonwealth Health Corporation, Inc. | Nurse Practitioner | Current |
Accepting new patients |
| Commonwealth Pain Associates, PLLC | Nurse Practitioner | Current |
Accepting new patients |
| Commonwealth Pain Associates PLLC | Current |
Accepting new patients | |
| Interventional Pain Specialists of Bowling Green PLC | Nurse Practitioner | Past |
Accepting new patients |
Locations
350 Park St
Ste 203
Bowling Green, KY 42101
Phone (270) 781-0075
250 Park St
Bowling Green, KY 42101
Phone (270) 745-1000
825 2nd Ave
Ste C6
Bowling Green, KY 42101
Phone (270) 745-7246
165 Natchez Trace Ave
Ste 205
Bowling Green, KY 42103
Phone (270) 282-2024
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
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 3007584 | KY | |
| Family Nurse Practitioner | 363LF0000X | 3007584 | KY | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100262040 | Medicaid | KY |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | andrea.broughton.1@16521.direct.athenahealth.com | Commonwealth Pain Associates, PLLC |
Other providers in Franklin, KY
- Bowling Green-Warren County Community Hospital Corporation
- Bowling Green-Warren County Community Hospital Corporation
- Bowling Green-Warren County Community Hospital Corporation
- Rebekah Boyland
- Lindsey Whiteman Brooks
- Ryan Gabriel Broyles
- James Fred Buckner Jr.
- Megan Kathleen Butler
- Jack S Buzzard Jr.
- Shatara Lee Cage
All providers in Franklin, KY · Family Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 13, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.