Vicky L Broderick , CNNP
Nurse Practitioner - Neonatal β’ Seattle, WA
1550 N 115th St
Seattle, WA 981338401
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
Practice Location & Contact Primary Location
1550 N 115th St
Seattle, WA 981338401
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in Sioux Falls, SD. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
What Public CMS Data Show
Nurse Practitioner - Neonatal: NPPES taxonomy is a reported classification, not proof of board certification.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2021β2025.
NPI first issued
2007
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, βDoes your provider accept Medicare as full payment?β
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Can order Medicare-covered services
CMS lists Vicky Broderick as eligible to order or refer durable medical equipment (DME) for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Seattle and Washington
42 active clinicians are listed under Nurse Practitioner - Neonatal with a practice address in Seattle, WA (82 in Washington).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Seattle
0% of these 42 clinicians have the CMS telehealth indicator.
2.4% of these 42 clinicians are listed by CMS as accepting Medicare assignment.
Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo Β· Report an error.
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2020-09-14NUCC Taxonomy Code: 363LN0000X
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSSources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Secondary Practice Locations
800 E 21st St, Neonatal Intensive Care Unit
Sioux Falls, SD 571051016
Phone: 6053224400
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
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Doctor of Medicine (M.D.)
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Advanced Registered Nurse Practitioner
Internal Medicine
Nurse Practitioner
Advanced Registered Nurse Practitioner
Nurse Anesthetist, Certified Registered
Certified Registered Nurse Anesthetist
Internal Medicine
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 1550 N 115TH ST, SEATTLE, WA 981338401 (Tel: 2065205000)
Registered at PO BOX 50095, SEATTLE, WA 981455095
Nurse Practitioner (license number reported to NPPES: WA AP30003054)
Registered at 2525 CHICAGO AVE, MINNEAPOLIS, MN 554044518 (Tel: 6128136000)
Registered at 5858 MAJESTIC TIDE AVE, LAS VEGAS, NV 891312514 (Tel: 6052120628)
NPI status registered as active in NPPES database
Registered at 800 E 21ST ST, NEONATAL INTENSIVE CARE UNIT, SIOUX FALLS, SD 571051016 (Tel: 6053224400)
Registered at 800 E 21ST ST, NEONATAL INTENSIVE CARE UNIT, SIOUX FALLS, SD 571051016 (Tel: 6053224400)
Recorded as VICKY BRODERICK, CNNP
Nurse Practitioner (license number reported to NPPES: SD DS-CNP CP000290)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Mailing Address
Po Box 50095
Seattle, WA 981455095