Kelly Broederdorf, REGISTERED NURSE
NPI 1952023459 · Nurse Practitioner · Woodstock, IL
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kelly Broederdorf, REGISTERED NURSE is a Nurse Practitioner provider in Woodstock, IL (NPI 1952023459).
Provider details
- NPI number
- 1952023459
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- REGISTERED NURSE
- Sex
- Female
- Sole proprietor
- No
- License
- 041.387373 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
3 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
325 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 111 | $102 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 48 | $105 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 46 | $14 |
| Telephone Medical Discussion With Physician, 21-30 Minutes99443 | 35 | $104 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 32 | $137 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 27 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 65 | 28 |
| Levothyroxine Sodium | 48 | 18 |
| Rosuvastatin Calcium | 44 | 17 |
| Lisinopril | 37 | 15 |
| Omeprazole | 28 | — |
| Zolpidem Tartrate | 27 | — |
| Losartan Potassium |
Practice location
Mailing address
Additional practice locations (1)
- 100 Village Grn Ste 120Lincolnshire, IL 60069-3095Phone: (847) 634-1766Fax: (847) 634-2894
Registry dates
- Enumerated
- 2022-09-13
- Last updated
- 2024-06-10
- Certified
- 2024-06-10
Frequently asked questions
- What is Kelly Broederdorf's NPI number?
- Kelly Broederdorf's National Provider Identifier (NPI) is 1952023459, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Broederdorf's specialty?
- Kelly Broederdorf is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kelly Broederdorf located?
- Kelly Broederdorf's practice location on file with NPPES is 3707 Doty Rd Ste Candd, Woodstock, IL 60098-7530.
- What is Kelly Broederdorf's phone number?
- The practice phone number listed in the NPPES registry for Kelly Broederdorf is (815) 338-6600.
- Does Kelly Broederdorf accept Medicare?
- Kelly Broederdorf is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kelly Broederdorf's NPI active?
- Yes — Kelly Broederdorf's NPI (1952023459) is active in the NPPES registry as of the last update on 2024-06-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.