Briana Broschat
Individual provider Active NPI Family Nurse Practitioner · Mission, SD
NPI 1174243752 · NPPES record last updated Sep 30, 2022
Key facts
- NPI
- 1174243752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 002530 (SD)
- Practice address
- 161 Main St
Mission, SD 57555 - Phone
- (856) 605-2295
- NPI assigned
- Sep 1, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 20
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Horizon Health Care Inc
Practice addresses (Care Compare)
161 S Main
Mission, SD 57555
Phone (605) 856-2295
Hospital & facility affiliations
- Cherry County Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SD
- 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 |
|---|---|---|---|---|
| I20230206002134 | SD | Practitioner - Nurse Practitioner | 4880066570 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002530 | SD | MD | Family Nurse Practitioner |
| F08220646 | SD | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Horizon Health Care, Inc | Current |
Accepting new patients | |
| Horizon Health Care Inc | Current |
Accepting new patients | |
| Horizon Health Care Inc | Current | Accepting new patients | |
| Horizon Health Care Inc | Past | Accepting new patients |
Locations
602 1st St NE
Ste 1
Wessington Springs, SD 57382
Phone (605) 539-1778
301 4TH St
Mellette Cnty Comm
White River, SD 57579
Phone (605) 259-3121
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F08220646 | SD | |
| Family Nurse Practitioner | 363LF0000X | 002530 | SD | Yes |
Addresses
Primary practice location
161 Main St
Mission, SD 57555
Mailing address
PO Box 1552
Mission, SD 57555-1552
Other providers in Mission, SD
- Arvish Bhinder
- Burke Community Pharmacy Inc.
- Mary Ann Coupland
- Molly Driel Dent
- Charlotte Rose Emery
- Daniel Kerby Heyduk
All providers in Mission, SD · Family Nurse Practitioner in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2022. 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.