Active NPI
Charmin Broughton, NP
- Family Nurse Practitioner
- Parker, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 991006
- Practice address
- 16830 Northgate Dr
Ste. 130
Parker, CO 80134-5778 - Phone
- (303) 805-7246
- NPI assigned
- Jun 11, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 991006 | CO | Primary |
Addresses
Primary practice location
16830 Northgate Dr
Ste. 130
Parker, CO 80134-5778
Mailing address
16830 Northgate Dr
Ste. 130
Parker, CO 80134-5778
Phone (303) 805-7246
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28129539 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10700 E Geddes Ave
Suite 100
Englewood, CO 80112-3861
Phone (303) 750-8100
Merit-based Incentive Payment System (MIPS)
- Final score
- 52.96 of 100
- Quality
- 0
- Improvement activities
- 40
- Cost
- 69.48
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 991006 | CO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metro Denver Pain Management PLLC | Current | Accepting new patients | |
| Dry Creek Surgery Center, LLC | Current | Accepting new patients |
Locations
1444 S Potomac St
Ste 170
Aurora, CO 80012
Phone (303) 481-0030
6455 N Union Blvd
Ste 100
Colorado Springs, CO 80918
Phone (303) 750-8100
38 E 5th Ave
Ste 100
Denver, CO 80203
10700 E Geddes Ave
Ste 100
Englewood, CO 80112
Phone (303) 341-4730
6950 E Belleview Ave
Ste 300
Greenwood Village, CO 80111
Phone (303) 468-8018
2599 Wadsworth Blvd
Lakewood, CO 80214
Phone (303) 458-7061
7730 S Broadway
Littleton, CO 80122
Phone (303) 730-2376
680 W 121st Ave
Ste 100
Westminster, CO 80234
Phone (303) 450-9970
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.
-
- Pain Medicine (Anesthesiology) Physician
- Englewood, CO
- NPI 1528365863
-
- Ambulatory Surgical Clinic/Center
- Highlands Ranch, CO
- NPI 1770075467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690934400000",
"number": "1144634734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16830 NORTHGATE DR",
"address_2": "STE. 130",
"city": "PARKER",
"state": "CO",
"postal_code": "801345778",
"telephone_number": "303-805-7246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16830 NORTHGATE DR",
"address_2": "STE. 130",
"city": "PARKER",
"state": "CO",
"postal_code": "801345778",
"telephone_number": "303-805-7246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROUGHTON",
"first_name": "CHARMIN",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-11",
"last_updated": "2023-08-02",
"certification_date": "2023-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "991006",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "28129539",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Parker, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.