Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1376340281 Individual Practitioner Female Practitioner

Mandy Broussard

Day Training, Developmentally Disabled Services • Mc Cook, NE

Professional Overview & Biography Verified Profile Summary

Mandy Broussard is a registered healthcare professional specializing in Day Training, Developmentally Disabled Services in Mc Cook, NE. Practice services are available at 506 E 12TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

506 E 12th St

Mc Cook, NE 690013599

Telephone 3087451530
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Day Training, Developmentally Disabled Services in Mc Cook, NE

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
3 Specialists

Practicing in Mc Cook, NE (178 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

CMS Verified: 2025-02-27
Day Training, Developmentally Disabled Services Primary Specialty

NUCC Taxonomy Code: 251C00000X

These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
470563788 (NE)

Practice Associates & Co-Workers

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

36 Associated Practitioners
Jeannine Rinehart

Technician - Personal Care Attendant

NPI 1003616756
Cabernay Wheeler

Technician - Personal Care Attendant

NPI 1013717768
Patricia Neel

Technician - Personal Care Attendant

NPI 1093515744
Breanna Branson

Technician - Personal Care Attendant

NPI 1104626852
Austin Webb

Day Training/Habilitation Specialist

NPI 1114718194
Emily Keiswetter

Day Training/Habilitation Specialist

NPI 1164316766

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active February 27, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location February 27, 2025

Registered at 506 E 12TH ST, MC COOK, NE 690013599 (Tel: 3087451530)

📍
Updated Business Mailing Address February 27, 2025

Registered at 1111 E 2ND ST, MC COOK, NE 690012625 (Tel: 7202927903)

👤
Provider Name / Credentials Updated February 27, 2025

Recorded as MANDY BROUSSARD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 27, 2025

Day Training, Developmentally Disabled Services

🟢
Initial NPI Registration & Enumeration February 27, 2025

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: 1376340281
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 27, 2025
Last Update: February 27, 2025
Sole Proprietor: Yes

Mailing Address

1111 E 2nd St

Mc Cook, NE 690012625

Phone: 7202927903

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.