Lori A Broecker, M.S.N., R.N., C.N.P.

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

4704163372 Issued in MI

Practice address

1135 W University Dr Ste 425
Rochester, MI 48307-1897

Phone

(248) 650-5861

Fax

(248) 650-5865

NPI assigned

Sep 1, 2006

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 MI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Master of Science - Nursing, Registered Nurse

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lbroecker1118885@direct.hfhs.org

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.

• Specialists in Rehabilitation Medicine PC

  • Physical Medicine & Rehabilitation Physician
  • Rochester, MI
  • NPI 1336114537
  Medicare reassignment NPD

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241568000000",
    "number": "1891897724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 W UNIVERSITY DR STE 425",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071897",
            "telephone_number": "248-650-5861",
            "fax_number": "248-650-5865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 W UNIVERSITY DR STE 425",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071897",
            "telephone_number": "248-650-5861",
            "fax_number": "248-650-5865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROECKER",
        "first_name": "LORI",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "M.S.N., R.N., C.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2009-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704163372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Chivu Brannick, M.D.
• Breakwater Oral and Maxillofacial Surgery PLLC
• Nicole Briggs
• Brightpath Wellness LLC
• Louis Brisson, MD
• Patricia Brooks, MD
• Julie Brown, REGISTERED DIETITIAN
• Rachel Brown, R.D.
• Bruce C Meyers
• Marissa Lynne Bruin

• Adult Health Nurse Practitioner in Rochester, MI
• Providers in Rochester, MI by specialty
• Adult Health Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.