Mr Kieron James Broderick, RN, ACNP - Medicare Nurse Practitioner in Centerville, IA

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Mr Kieron James Broderick, RN, ACNP is a medicare enrolled "Nurse Practitioner" in Centerville, Iowa. His current practice location is 1208 E Cross St, Centerville, Iowa. You can reach out to his office (for appointments etc.) via phone at (816) 477-7200.

Mr Kieron James Broderick is licensed to practice in Iowa (license number L166512) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1174879282.

Contact Information

Mr Kieron James Broderick, RN, ACNP
1208 E Cross St,
Centerville, IA 52544-3501
(816) 477-7200
Not Available

Map and Direction




Provider's Profile

Full NameMr Kieron James Broderick
GenderMale
SpecialityNurse Practitioner
Location1208 E Cross St, Centerville, Iowa
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174879282
  • Provider Enumeration Date: 07/25/2012
  • Last Update Date: 02/18/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4688823727
  • Enrollment ID: I20121004000240

Medical Identifiers

Medical identifiers for Mr Kieron James Broderick such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174879282NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care 2012024476 (Missouri)Secondary
363L00000XNurse Practitioner L166512 (Iowa)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Kieron James Broderick allows following entities to bill medicare on his behalf.
Entity NameTruhealth LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063843951
PECOS PAC ID: 2163653478
Enrollment ID: O20190610001459

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Kieron James Broderick is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Kieron James Broderick, RN, ACNP
3901 Spicewood Springs Rd Ste 201,
Austin, TX 78759-8723

Ph: (877) 279-5960		Mr Kieron James Broderick, RN, ACNP
1208 E Cross St,
Centerville, IA 52544-3501

Ph: (816) 477-7200

Reviews and Comments


Nurse Practitioner Nurses in Centerville, IA

Mary E Booth, DNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1 Saint Joseph Dr, Centerville, IA 52544
Phone: 641-856-8684    Fax: 641-548-5233
Lauren Anne Drake, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1208 E Cross St, Centerville, IA 52544
Phone: 319-666-4224    
Jacquelyn Stajcar,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 19942 Saint Joseph Dr, Centerville, IA 52544
Phone: 641-856-8684    
Brittany Ann Enlow, ARNP, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1208 E Cross St, Centerville, IA 52544
Phone: 319-591-0781    
Laurel Lea Eicher, RN, MSN, ACGNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1208 E Cross St, Centerville, IA 52544
Phone: 319-666-4224    Fax: 877-384-3106
Brooklynn Ann Amling, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1208 E Cross St, Centerville, IA 52544
Phone: 877-279-5960    
Paige Houser, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 19942 Saint Joseph Dr, Centerville, IA 52544
Phone: 641-856-8684    Fax: 641-548-5233

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.