Nicole L Brodeur, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

699527 Issued in TX

Practice address

865 Junction Dr
Allen, TX 75013-5006

Phone

(214) 547-8300

Fax

(214) 547-9787

NPI assigned

Jan 15, 2008

Last updated

Sep 5, 2024By 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

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX

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, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Brookwood Family Practice PAGroup PAC ID 8123047073, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Texas Health Presbyterian Hospital Allen Hospital, Allen, TX, CCN 450840

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Brookwood Family Practice, P.a.

  • Family Medicine Physician
  • Allen, TX
  • NPI 1568647451
  Medicare reassignment Care Compare group
• Citywide I D Associates, Inc

  • Specialist
  • Addison, TX
  • NPI 1982906244
  NPD (past)
• Physicians and Allied Health Professionals Group, PA

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1528011814
  NPD (past)

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

• Texas Health Presbyterian Hospital Allen

  • General Acute Care Hospital
  • Allen, TX
  • NPI 1548291883
  Care Compare affiliation

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1649456047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16182 PEBBLESTONE CV",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750351630",
            "telephone_number": "214-505-0955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 JUNCTION DR",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750135006",
            "telephone_number": "214-547-8300",
            "fax_number": "214-547-9787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODEUR",
        "first_name": "NICOLE",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-15",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "699527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "193397002",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "193397003",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "193397001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bridget a. Shannon, OD,PA (Shannon Vision Care)
• Bridgning Harts Psychotherapy
• Brendan Briggs
• Deidre Marie Briggs, DDS
• Andrew Thomas Brockway
• Brittany Lauren Brogan, DPT
• Brooks Wood Eyecare LLC (Allen Eyecare Center)
• Brookshire Grocery Company (Brookshires Pharmacy #65)
• Brookwood Family Practice, P.a.
• Riley Broughton, M.S., CCC-SLP

• Family Nurse Practitioner in Allen, TX
• Providers in Allen, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; 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.