Individual provider Active NPI

Charmin Broughton, NP

  • Family Nurse Practitioner
  • Parker, CO
National Provider Identifier
1144634734
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
991006 Issued in CO
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

Updated by the provider on Aug 2, 2023

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 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

IdentifierTypeStateIssuer
28129539MedicaidCO

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141015000855 CO Practitioner - Nurse Practitioner 6800017955 Reassigns benefits to 1 organization
Practice locations: Aurora, CO

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
Metro Denver Pain Management PLLCGroup PAC ID 9032388376, 19 clinicians

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 100Reported as group
Quality
0
Improvement activities
40
Cost
69.48

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
991006COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Denver Pain Management PLLC CurrentSince Jun 1, 2022 Accepting new patients
Dry Creek Surgery Center, LLC CurrentSince Jun 1, 2022 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.

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

Verify at the official NPI Registry.