Active NPI 1356442842 Individual Practitioner Female Practitioner

Mary Ann Broda , CPNP

Nurse Practitioner - Pediatrics • Spring Arbor, MI

Professional Overview & Biography Verified Profile Summary

Mary Broda, CPNP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Spring Arbor, MI. Practice services are available at 106 E MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

106 E Main St

Spring Arbor, MI 492839701

Telephone 5177506352

Fax 5177506625

Associated Practice Facility / Clinic

🏢 Spring Arbor University Physical Therapy And Athletic Training Llc Facility NPI 1649740465

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Spring Arbor, MI

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 8.7 Yrs

Regional Practice Density

1 Specialists

Practicing in Spring Arbor, MI (538 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License MI 4704119440

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID License

470411940 (MI)

Commercial Insurance / Payer ID Php

83 20029 (MI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Mary Rick , PNP FNP-BC

Nurse Practitioner - Family

NPI 1194718478

PNPFNPBC

Mitchell Zigler , PT

Physical Therapist

NPI 1386051118

Physical Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active February 16, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location February 16, 2016

Registered at 106 E MAIN ST, SPRING ARBOR, MI 492839701 (Tel: 5177506352)

📍

Updated Business Mailing Address February 16, 2016

Registered at 106 E MAIN ST, SPRING ARBOR, MI 492839701 (Tel: 5177409869)

👤

Provider Name / Credentials Updated February 16, 2016

Recorded as MARY BRODA, C.P.N.P.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 16, 2016

Nurse Practitioner (License #4704119440 in MI)

🟢

Initial NPI Registration & Enumeration September 26, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1356442842

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 26, 2006

Last Update: February 16, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

106 E Main St

Spring Arbor, MI 492839701

Phone: 5177409869

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.