Individual provider Active NPI

Tiffany Broce, APRN

  • Acute Care Nurse Practitioner
  • Sacramento, CA
National Provider Identifier
1497238257
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
95022283 Issued in CA
Practice address
4501 X St Ste 3010
Sacramento, CA 95817-2229
Phone
(916) 734-5907
Fax
(916) 703-5267
NPI assigned
Sep 7, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 95022283 CA Primary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X 812956 NV

Addresses

Primary practice location

4501 X St Ste 3010
Sacramento, CA 95817-2229

Mailing address

4501 X St Ste 3010
Sacramento, CA 95817-2229
Phone (916) 734-5907

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190109003434 NV Practitioner - Nurse Practitioner 0547506602 Reassigns benefits to 1 organization
I20221109000672 CA Practitioner - Nurse Practitioner 0547506602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Regents of the Univ of CaGroup PAC ID 3375456619, 1,571 clinicians

Practice addresses (Care Compare)

2221 Stockton Blvd
Sacramento, CA 95817-1418
Phone (916) 734-3761

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.15 of 100Reported as group
Quality
64.8
Promoting interoperability
100
Improvement activities
40
Cost
68.65

Merit-based Incentive Payment System (MIPS)

Final score
80.98 of 100Reported as group
Quality
73.31
Promoting interoperability
92
Improvement activities
40
Cost
62

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95022283CAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the Univ of Ca Single Specialty Current Accepting new patients
Peter C Lim MD LTD Single Specialty CurrentSince Oct 20, 2018 Accepting new patients
Regents of the Univ of Ca Single Specialty CurrentSince Oct 24, 2022 Accepting new patients
Regents of the Univ of Ca Single Specialty CurrentSince Oct 24, 2022 Accepting new patients
Regents of the Univ of Ca Single Specialty Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients

Locations

4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700

2221 Stockton Blvd
Sacramento, CA 95817
Phone (916) 734-2680

4868 X St
Sacramento, CA 95817
Phone (916) 703-1503

4501 X St
Ste 3010
Sacramento, CA 95817
Phone (916) 734-5907

4900 Broadway
Ste 2800
Sacramento, CA 95820
Phone (916) 734-9313

2825 J St
Sacramento, CA 95816
Phone (916) 734-0779

4501 X St
Fl 2
Sacramento, CA 95817
Phone (916) 734-5959

75 Pringle Way
Reno, NV 89502
Phone (775) 327-4673

75 Pringle Way
Lowr
Reno, NV 89502
Phone (775) 327-4673

5465 Reno Corporate Dr
Ste 100
Reno, NV 89511
Phone (775) 327-4673

Organizations & group practices 6

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.

Hospital & facility affiliations 5

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": "1536278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1497238257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 X ST STE 3010",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172229",
            "telephone_number": "916-734-5907",
            "fax_number": "916-703-5267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 X ST STE 3010",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172229",
            "telephone_number": "916-734-5907",
            "fax_number": "916-703-5267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCE",
        "first_name": "TIFFANY",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-07",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95022283",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "812956",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.