Ida Broadwater, CRNP
NPI 1598195307 · Adult Health Nurse Practitioner · Philadelphia, PA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ida Broadwater, CRNP is a Adult Health Nurse Practitioner provider in Philadelphia, PA (NPI 1598195307).
Provider details
- NPI number
- 1598195307
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNP
- Sex
- Female
- Sole proprietor
- No
- License
- SP013545 (PA)
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
12 yrs 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
- 2013-11-14
- Last updated
- 2013-12-20
Frequently asked questions
- What is Ida Broadwater's NPI number?
- Ida Broadwater's National Provider Identifier (NPI) is 1598195307, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ida Broadwater's specialty?
- Ida Broadwater is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Ida Broadwater located?
- Ida Broadwater's practice location on file with NPPES is 3400 Spruce Street, Philadelphia, PA 19104.
- What is Ida Broadwater's phone number?
- The practice phone number listed in the NPPES registry for Ida Broadwater is (215) 615-4949.
- Does Ida Broadwater accept Medicare?
- Ida Broadwater is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ida Broadwater's NPI active?
- Yes — Ida Broadwater's NPI (1598195307) is active in the NPPES registry as of the last update on 2013-12-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.