Molly Broom, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP10113 Issued in LA

Practice address

1970 N Highway 190
Covington, LA 70433

Phone

(985) 867-8585

Fax

(985) 867-3644

NPI assigned

Jul 6, 2018

Last updated

Jul 10, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Belle Chasse Physician Services LLCGroup PAC ID 9335379379, 258 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Slidell Memorial Hospital Hospital, Slidell, LA, CCN 190040

Merit-based Incentive Payment System (MIPS)

Final score

90.75 of 100Reported as group

Quality

71.94

Promoting interoperability

100

Improvement activities

40

Cost

63.89

Merit-based Incentive Payment System (MIPS)

Final score

96.3 of 100Reported as group

Quality

85.77

Promoting interoperability

100

Improvement activities

40

Cost

68.58

Merit-based Incentive Payment System (MIPS)

Final score

79.21 of 100Reported as group

Quality

64.85

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mollybroom@nni.allscriptsdirect.net

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.

• Belle Chasse Physician Services LLC

  • Hospitalist Physician
  • Terrytown, LA
  • NPI 1245653237

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Gulfsouth Hospital Medicine LLC

  • Internal Medicine Physician
  • Covington, LA
  • NPI 1871097766
  Medicare reassignment NPD
• Gulfsouth Pulmonology, LLC

  dba dba - GulfSouth Pulmonary, LLC

  • Pulmonary Disease Physician
  • Covington, LA
  • NPI 1912404930
  Medicare reassignment NPD
• In and Out Urgent Care Covington, LLC

  dba In and Out Urgent Care Covington

  • Urgent Care Clinic/Center
  • Covington, LA
  • NPI 1366926040
  Medicare reassignment NPD
• In and Out Urgent Care, LLC

  • Urgent Care Clinic/Center
  • New Orleans, LA
  • NPI 1851725154
  Medicare reassignment NPD
• Nni Covington LLC

  • Nephrology Physician
  • Covington, LA
  • NPI 1972060168
  Medicare reassignment NPD
• Van Meter Emergency Physicians Inc. Apmc

  • Emergency Medicine Physician
  • Covington, LA
  • NPI 1649410697
  Medicare reassignment NPD
• Northlake Nephrology Inc

  dba Northlake Nephrology Institute

  • Nephrology Physician
  • Covington, LA
  • NPI 1366448458
  Medicare reassignment

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Slidell Memorial Hospital

  • General Acute Care Hospital
  • Slidell, LA
  • NPI 1578568481
  Care Compare affiliation

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

{
    "created_epoch": "1530835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531180800000",
    "number": "1285120808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3370",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704343370",
            "telephone_number": "985-400-5988",
            "fax_number": "985-867-3644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1970 N HIGHWAY 190",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "70433",
            "telephone_number": "985-867-8585",
            "fax_number": "985-867-3644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "95 Judge Tanner Blvd",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "LA",
            "postal_code": "704337500",
            "country_code": "US",
            "telephone_number": "985-867-3800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROOM",
        "first_name": "MOLLY",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-06",
        "last_updated": "2018-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP10113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Brian Britton, M.D.
• Raven Broadway
• John Wesley Brogdon III, LOTR
• Daniel R Bronfin, MD
• Taylor King Brooks, NP
• Julie M Broussard, NNP
• Rachel Broussard, CSA
• Brandon R Brousse, MD
• Megan L Brower, DC
• Brown Family Orthodontics

• Family Nurse Practitioner in Covington, LA
• Providers in Covington, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; 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.

Verify at the official NPI Registry.