Broken Roads Mental Health, LLC
NPI 1164259974 · Psychiatric/Mental Health Nurse Practitioner · Port St Lucie, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Broken Roads Mental Health, LLC is a Psychiatric/Mental Health Nurse Practitioner organization in Port St Lucie, FL (NPI 1164259974).
Provider details
- NPI number
- 1164259974
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Sara Waterbury, Owner(772) 249-2597
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-09-16
- Last updated
- 2024-09-30
- Certified
- 2024-09-30
Frequently asked questions
- What is Broken Roads Mental Health, LLC's NPI number?
- Broken Roads Mental Health, LLC's National Provider Identifier (NPI) is 1164259974, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Broken Roads Mental Health, LLC?
- Broken Roads Mental Health, LLC is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Broken Roads Mental Health, LLC located?
- Broken Roads Mental Health, LLC's practice location on file with NPPES is 1680 Sw Bayshore Blvd Ste 107, Port St Lucie, FL 34984-3518.
- What is Broken Roads Mental Health, LLC's phone number?
- The practice phone number listed in the NPPES registry for Broken Roads Mental Health, LLC is (772) 249-2597.
- Does Broken Roads Mental Health, LLC accept Medicare?
- Broken Roads Mental Health, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Broken Roads Mental Health, LLC?
- The authorized official listed on Broken Roads Mental Health, LLC's NPPES record is Sara Waterbury, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Broken Roads Mental Health, LLC's NPI active?
- Yes — Broken Roads Mental Health, LLC's NPI (1164259974) is active in the NPPES registry as of the last update on 2024-09-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.