NPIMap

Individual provider Active NPI

Lisa Broody, CRNP

  • Family Nurse Practitioner
  • Berwyn, PA
National Provider Identifier
1487737417
Registry record updated Dec 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP009148 Issued in PA
Practice address
1001 Chesterbrook Blvd
Berwyn, PA 19312-0000
Phone
(610) 576-7500
Fax
(610) 576-7506
NPI assigned
Oct 23, 2006
Last updated
Dec 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2025

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 SP009148 PA Primary

Addresses

Primary practice location

1001 Chesterbrook Blvd
Berwyn, PA 19312-0000

Mailing address

1001 Chesterbrook Blvd
2ND FL.
Berwyn, PA 19312-0000
Phone (610) 576-7500

Other practice location 1

1088 W Baltimore Pike
Suite #2208
Media, PA 19063-5146
Phone (610) 891-3049

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240506003659 PA Practitioner - Nurse Practitioner 4284074311 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Novacare Outpatient Rehabilitation East, Inc.Group PAC ID 3678480290, shared by 15 NPIs, 493 clinicians

Practice addresses (Care Compare)

1001 Chesterbrook Blvd
FL 2
Berwyn, PA 19312-3808
Phone (610) 576-7500

201 2ND Ave
Collegeville, PA 19426-3613
Phone (610) 489-7703

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SP009148PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Care Associates of the University of Pennsylvania Health CurrentSince Dec 25, 2025 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health CurrentSince Dec 25, 2025 Accepting new patients
Lewis Family Practice PC CurrentSince May 1, 2024 Accepting new patients

Locations

1001 Chesterbrook Blvd
Berwyn, PA 19312
Phone (610) 576-7500

1001 Chesterbrook Blvd
Fl 2
Berwyn, PA 19312
Phone (610) 576-7500

1088 W Baltimore Pike
Ste 2206
Media, PA 19063
Phone (610) 566-7601

1088 W Baltimore Pike
Ste 2208
Media, PA 19063
Phone (610) 891-3049

777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775

Interoperability endpoints

  • Direct secure messaging: lisa.broody@lfp.directbygreenway.com

Organizations & group practices 4

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 6

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767139200000",
    "number": "1487737417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 CHESTERBROOK BLVD",
            "address_2": "2ND FL.",
            "city": "BERWYN",
            "state": "PA",
            "postal_code": "193120000",
            "telephone_number": "610-576-7500",
            "fax_number": "610-576-7506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 CHESTERBROOK BLVD",
            "city": "BERWYN",
            "state": "PA",
            "postal_code": "193120000",
            "telephone_number": "610-576-7500",
            "fax_number": "610-576-7506"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1088 W Baltimore Pike",
            "address_2": "Suite #2208",
            "address_purpose": "LOCATION",
            "city": "Media",
            "state": "PA",
            "postal_code": "190635146",
            "country_code": "US",
            "telephone_number": "610-891-3049",
            "fax_number": "610-891-3919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROODY",
        "first_name": "LISA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP009148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berwyn, PA

Sources for this page

Verify at the official NPI Registry.