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NPI · 1164259974 · NPPES-sourced

Broken Roads Mental Health, LLC

ActivePsychiatric/Mental Health Nurse Practitioner
NPI Number
1164259974
Type 2 · Organisation
Contact
(772) 249-2597
Primary practice line
Last Updated
Enumerated
Primary practice addressFL · 34984-3518
1680 Sw Bayshore Blvd Ste 107Port St Lucie, FL 34984-3518
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About this NPIWhat this record shows.

NPI 1164259974 is registered to Broken Roads Mental Health, LLC, a healthcare organisation classified as "Psychiatric/Mental Health Nurse Practitioner" and located at 1680 Sw Bayshore Blvd Ste 107 in Port St Lucie, Florida. The organisation's authorised official is Sara Waterbury. The organisation has been enumerated in the NPI registry since 2024.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Broken Roads Mental Health, LLC accepts. To confirm in-network status with your specific health plan, contact Broken Roads Mental Health, LLC directly at (772) 249-2597.

Frequently asked

Yes. NPI 1164259974 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Psychiatric/Mental Health Nurse Practitioner is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (772) 249-2597.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Broken Roads Mental Health, LLC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy363LP0808X
Last updated
Enumerated
StatusActive
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