NPIMap

Individual provider Active NPI

Joanne Broomer, FNP AG-ACNP

  • Nurse Practitioner
  • Germantown, MD
National Provider Identifier
1295265007
Registry record updated Jun 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024174924 Issued in VA
Practice address
20010 Century Blvd
Germantown, MD 20874-1115
Phone
(904) 514-4602
NPI assigned
Jun 14, 2017
Last updated
Jun 14, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024174924 VA Primary

Addresses

Primary practice location

20010 Century Blvd
Germantown, MD 20874-1115

Mailing address

15479 Fog Mountain Cir
Haymarket, VA 20169-8154

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171024000008 VA Practitioner - Nurse Practitioner 4183990997 Reassigns benefits to 6 organizations
I20190912000336 DC Practitioner - Nurse Practitioner 4183990997 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Intensivist Services PCGroup PAC ID 9335152107, 234 clinicians

Practice addresses (Care Compare)

500 Hospital Dr
Warrenton, VA 20186-3027
Phone (540) 316-5000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Nov 4, 2020 Accepting new patients
Emergency Medicine Associates, P.a.,P.C. CurrentSince Aug 21, 2017 Accepting new patients
Commonwealth Emergency Physicians PC CurrentSince May 15, 2023 Accepting new patients
Fair Oaks Emergency Physicians, PLLC CurrentSince Aug 1, 2019 Accepting new patients
Virginia Emergency Medicine Assoicates, LTD CurrentSince Aug 1, 2019 Accepting new patients
True North Health Navigation LLC CurrentSince Nov 1, 2021 Accepting new patients
Privia Medical Group, LLC CurrentSince Nov 4, 2020 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Aug 21, 2017 Accepting new patients
Southeastern Intensivist Services PC CurrentSince Oct 1, 2024 Accepting new patients
Dispatchhealth NV Wagner PC Past Accepting new patients
True North Health Navigation LLC Past Accepting new patients
Commonwealth Emergency Physicians PC Nurse Practitioner PastSince Apr 17, 2020 Accepting new patients

Locations

3825 N Lafayette St
Denver, CO 80205
Phone (303) 505-1518

3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037

100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040

8644 Sudley Rd
#220
Manassas, VA 20110

8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000

8000 Westpark Dr
Ste 130
Mc Lean, VA 22102
Phone (702) 848-4443

1401 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 327-4046

7200 Glen Forest Dr
Ste 106
Richmond, VA 23226
Phone (804) 495-0053

1951 Kidwell Dr
Ste 101
Vienna, VA 22182
Phone (571) 348-4721

500 Hospital Dr
Warrenton, VA 20186
Phone (540) 316-5000

Interoperability endpoints

  • Direct secure messaging: jbroomer519762@direct.healthsystem.virginia.edu

Organizations & group practices 12

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497398400000",
    "number": "1295265007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15479 FOG MOUNTAIN CIR",
            "city": "HAYMARKET",
            "state": "VA",
            "postal_code": "201698154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20010 CENTURY BLVD",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208741115",
            "telephone_number": "904-514-4602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOMER",
        "first_name": "JOANNE",
        "credential": "FNP AG-ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-14",
        "last_updated": "2017-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024174924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, MD

Sources for this page

Verify at the official NPI Registry.